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Asuhan Keperawatan pada Ny.N dengan Diabetes Melitus Tipe II di Ruang Interne RSUD Prof. M. Yamin, SH Pariaman Tahun 2026 Sri Wulandari; Linda Marni; Debby Silvia Dewi; Hilma Yessi
Jurnal Siti Rufaidah Vol. 4 No. 2 (2026): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v4i2.343

Abstract

Diabetes Mellitus Type II is a chronic metabolic disease characterized by elevated blood glucose levels due to insulin resistance and impaired insulin secretion. Globally, the number of people with diabetes in 2024 is estimated to reach 800 million, with more than 95% being Type II Diabetes Mellitus. At RSUD Prof. M. Yamin, SH Pariaman in 2025, there were 189 recorded cases of Type II Diabetes Mellitus without complications. The purpose of this scientific paper is to provide nursing care to a patient with Type II Diabetes Mellitus in the Internal Medicine Ward of RSUD Prof. M. Yamin, SH Pariaman. The method used is a case study with a nursing process approach, including observation, interviews, physical examination, and data collection from medical records. This study was conducted in the internal ward for 5 days, from February 6, 2026 to February 10, 2026, with the subject Mrs. N. The assessment results identified nine nursing problems: unstable blood glucose levels, acute pain, impaired skin/tissue integrity, ineffective peripheral perfusion, impaired physical mobility, sleep pattern disturbance, fatigue, risk of infection, and risk of nutritional deficit. The evaluation after 5 days of nursing care showed that five diagnoses were resolved, namely unstable blood glucose levels, ineffective peripheral perfusion, fatigue, risk of infection, and risk of nutritional deficit. Meanwhile, the other four diagnoses were not fully resolved but showed improvement. It is expected that the patient and family will maintain adherence to a healthy lifestyle, therapy, diet, and regular follow-up in order to prevent complications.
Asuhan Keperawatan Pada Pasien Dengan Chronic Kidney Disease (CKD) di Ruang Interne RSUD Prof.Muhammad Yamin,SH Pariaman Mona Mona; Linda Marni; Debby Silvia Dewi; Hilma Yessi
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.2135

Abstract

Chronic Kidney Disease (CKD) is a growing global health problem. According to the WHO, by 2025, approximately 674 million people worldwide will be living with chronic kidney disease, or approximately 9% of the global population. It is predicted that CKD could become the fifth leading cause of death worldwide, with a mortality rate of approximately 1.48 million deaths per year. In Indonesia, the prevalence of chronic kidney disease is 0.38%, with 713,783 people suffering from CKD. In West Sumatra, the prevalence of Chronic Kidney Disease is 0.40%. Approximately 13,834 cases were reported. In 2025, CKD ranked first at Prof. H. Muhammad Yamin, SH, Pariaman Regional General Hospital, with 335 cases. Chronic Kidney Disease is a condition in which the kidneys fail to function optimally for a prolonged period. The method used was a case study with a homicide approach on one patient, Mrs. L., in the internal ward of Prof. H. Muhammad Yamin, SH, Regional General Hospital, from February 22-25, 2026. The results of the five-day study revealed the following diagnoses: hypervolemia, ineffective breathing pattern, ineffective peripheral perfusion, constipation, and disturbed body image. After treatment, the patient's condition is expected to improve, indicated by a reduction in shortness of breath, edema, fatigue, and pain.
Asuhan Keperawatan Pada NY. M Dengan Anemia Di Ruang Muzdalifah Rumah Sakit Aisyiyah  Kota Pariaman Tahun 2026 Ani Depita Sari; Debby Silvia Dewi; Linda Marni; Hilma Yessi
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.2140

Abstract

Based on data from the World Health Organization (2025), the prevalence of anemia is widespread across various regions of the world, ranging from 52% to 80% of the global population. According to the Indonesian Health Survey (2023), the prevalence of anemia reached 16.3%, with a higher rate in women (18%) compared to men (14.4%). Meanwhile, data from the West Sumatra Health Office (2021) show that the average prevalence of anemia is higher in women, particularly among female groups at 29.8%, compared to 27.6% in men. In West Sumatra, the highest prevalence is found in Padang City at 14.5%. Medical record data from Aisyiyah Hospital in Pariaman City indicate that there were 96 anemia cases in 2025. The purpose of this case study is to obtain an overview of the implementation of nursing care for patients with anemia in the Muzdalifah Ward of Aisyiyah Hospital, Pariaman, in 2026. This study aims to enable students to apply comprehensive nursing care, especially for patients with anemia. The method used is a case study conducted over 5 days, from February 18 to 22, 2026, in the Muzdalifah Ward of Aisyiyah Hospital Pariaman, involving one patient (Mrs. M) with anemia. The results identified three nursing problems: ineffective peripheral tissue perfusion, fatigue, and risk of nutritional deficit, with the main priority being ineffective peripheral tissue perfusion. Evaluation over the 5-day period showed that ineffective peripheral tissue perfusion and fatigue were resolved, while the risk of nutritional deficit was partially resolved, with continued interventions carried out by the family. It is expected that patients and families maintain health, proper diet, and a healthy and regular lifestyle. 
Asuhan Keperawatan Medikal Bedah Pada Pasien Dengan Diagnosa Community-Aquired Pneumonia (Cap) Diruangan Rawat Inap Paru Rsud Padang Panjang Bella Sakina; Hilma Yessi; Linda Marni; Debby Silvia Dewi
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.2175

Abstract

Community-Acquired Pneumonia (CAP) merupakan infeksi akut pada parenkim paru yang diperoleh di luar fasilitas pelayanan kesehatan dan masih menjadi masalah kesehatan utama di dunia. Menurut World Health Organization (WHO), pneumonia menyebabkan sekitar 740.180 kematian pada tahun 2021. Di Indonesia, prevalensi pneumonia pada tahun 2020 mencapai 39,38%, sedangkan di Provinsi Sumatera Barat prevalensi pneumonia pada balita meningkat dari 17,6% pada tahun 2023 menjadi 19,5% pada tahun 2024. Berdasarkan data Rekam Medis RSUD Padang Panjang tahun 2025, pneumonia menempati urutan pertama penyakit rawat inap terbanyak dengan 295 kasus (18,58%). Tujuan studi kasus ini adalah menggambarkan pelaksanaan asuhan keperawatan pada pasien dengan CAP di Ruang Rawat Inap Paru RSUD Padang Panjang Tahun 2026. Metode yang digunakan adalah studi kasus deskriptif dengan pendekatan proses keperawatan meliputi pengkajian, diagnosis, intervensi, implementasi, dan evaluasi. Hasil pengkajian menunjukkan pasien mengalami sesak napas, batuk berdahak sulit dikeluarkan, gangguan tidur, dan kelemahan fisik. Diagnosis keperawatan yang ditemukan yaitu bersihan jalan napas tidak efektif, pola napas tidak efektif, intoleransi aktivitas, gangguan pola tidur, dan risiko infeksi. Intervensi yang diberikan meliputi latihan batuk efektif, manajemen jalan napas, manajemen energi, dukungan tidur, dan pencegahan infeksi. Hasil evaluasi menunjukkan kondisi pasien membaik ditandai dengan berkurangnya sesak napas, sputum lebih mudah dikeluarkan, pola tidur membaik, dan aktivitas meningkat. Asuhan keperawatan yang komprehensif berperan penting dalam mempercepat proses pemulihan pasien CAP. Disarankan kepada perawat untuk terus memberikan asuhan keperawatan yang komprehensif dan berbasis bukti, serta kepada pasien dan keluarga untuk berpartisipasi aktif dalam pengobatan dan upaya pencegahan guna mengurangi risiko komplikasi dan kekambuhan penyakit.  
Asuhan Keperawatan Pada Tn. S Dengan Diabetes Melitus Tipe II Di Ruangan Mina Rumah Sakit Aisyiyah Pariaman Rizatul Aini; Mike Asmaria; Debby Silvia Dewi; Hilma Yessi
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 2 (2026): Juli - September
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i2.2219

Abstract

According to the International Diabetes Federation (IDF), the number of people with diabetes worldwide in 2021 was around 537 million. In Indonesia, around 19.5 million adults were recorded as having diabetes in 2021. In West Sumatra, the number of cases of type II diabetes was recorded as 245,105 in 2018, representing 13.725%. Data yang diperoleh dari kasus diabetes mellitus di RS Aisyiyah Pariaman pada tahun 2024 adalah 278 kasus, menempati urutan keempat untuk jumlah kasus penyakit terbanyak. The aim of this scientific paper is to provide nursing care for patients with type II diabetes mellitus, including assessment, diagnosis, intervention, implementation, evaluation and documentation. The study was conducted as a case study with one patient in Room Mina at RS Aisyiyah Pariaman from 19 to 23 September 2025. The results of the study revealed the following nursing problems: unstable blood glucose levels, impaired skin integrity, risk of infection, and risk of nutritional deficiency. The results of the evaluation and implementation show that the problems of unstable blood glucose levels, impaired skin integrity, risk of infection and risk of nutritional deficiency were resolved by day 5. It is hoped that through this study, patients and their families will be able to provide care and maintain a healthy diet and lifestyle, as well as adhere to their medication, thereby preventing other family members from developing type II diabetes. 
Pemahaman Perawat Terhadap Dasar Hukum dan Tanggung Jawab Pelimpahan Wewenang Tindakan Medis di IGD Mike Asmaria; Hilma Yessi; Debby Silvia Dewi
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.59229

Abstract

Delegating authority from doctors to nurses is a common practice in emergency services in the Emergency Department (ER) to expedite patient care and improve service effectiveness, particularly in emergency situations or when there are limited medical personnel. However, its implementation still faces various obstacles related to legal aspects, namely the legal basis, professional accountability, and legal protection for the health workers who carry it out. Therefore, it is necessary to conduct research on understanding the delegation of authority in the Emergency Department of Prof. M. Yamin Pariaman Regional Hospital. The methodology used is a qualitative, descriptive-analytical approach by conducting intensive interviews with seven nurses working in the ER. The findings of this study revealed that most nurses still do not have an adequate understanding of the legal basis underlying the transfer of authority, including the difference between delegation and mandate. Nurses also tend to assume that doctors are the parties who are ultimately responsible for the medical actions that have been delegated. Furthermore, the process of delegation of authority is mostly done verbally without adequate documentation. Thus, it is hoped that there will be efforts to increase the understanding of health workers regarding the legal aspects and responsibilities in the delegation of authority through several strategies, including active socialization of regulations and training in the field of health law in the hospital environment.
Pemberdayaan Masyarakat Tentang Ems (Emergency Medical Sistem) Sederhana Melalui Detections Pra-Hospital Stroke Hasmita Hasmita; Mike Asmaria; Hilma Yessi; Trisna Kumala Sar; Prima Yoselina; Kheniva Diah Anggita; usrito Zalins Adecory
Jurnal Medika: Medika in progres
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jtn47g86

Abstract

Stroke is a leading cause of death and disability that requires rapid treatment from the pre-hospital phase, but the community in Nagari Malai III Koto still has minimal knowledge regarding early detection and initial treatment of stroke. This community service program aims to improve the community's ability in pre-hospital management of stroke patients through simple EMS. Methods include assessment, participant identification, health education on early stroke detection using the FAST method, and an introduction to EMS with the Detection component. Participants were 19 elderly people at high risk of stroke and 17 family members. Evaluation results showed a significant increase: stroke knowledge from 35% to 90%, FAST simulation from 30% to 88%, family role from 40% to 92%, and understanding of the EMS process from 25% to 85%. The conclusion of this program is that community-based health education is effective in increasing community preparedness in pre-hospital stroke management, and is expected to be able to implement an emergency stroke referral system.
Asuhan Keperawatan Medikal Bedah Pada Ny. N Dengan Hipertensi Di Ruangan Rawat Inap Interne RSUD Padang Pariaman Tahun 2026 Diva Kurnia Agustin; Hilma Yessi; Mike Asmaria; Debby Silvia Dewi
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 2 (2026): Juli - September
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i2.2265

Abstract

Hypertension is a condition in which blood pressure is above the normal range. According ti data from the World Health Organization (WHO), hypertension affects 22% of the world’s population in southeast asia with an incidence rate reaching 36%. The number of hypertension sufferers in indonesia reached 34.1%, up from 25.8% in 2020. In west Sumatera province, hypertension ranks fifth out of the ten most common diseases with 63,309,620 cases. The 2024 west Sumatera provincial health office report, padang city ranked first with 23,737 cases, followed by solok in second place with 20,345 cases, and pasaman in third place with 19,907 cases. At padang pariaman regional general hospital, hypertension cases ranked sixth with 506 cases. This case study aims to apply direct nursing care to mrs.N with hypertension through a nursing process approach. The research method was conducted in the form of a case study on mrs.N in the internal room of padang pariaman regional hospital on February 26 – march 2, 2026. Data collection was carried out through interviews, observations, physical examinations, and documentation. Four diagnoses were found in clients with a diagnosis of hypertension, namely the risk of ineffective cerebral perfusion, acute pain, sleep pattern distubances, and activity intolerance. The nursing evaluation showed that blood pressure was 132/82 mmhg, pulse 88x/minute, pain decreased to scale 1, and sleep pattern disturbances and activity intolerance were resolved within 3 days. The family is expected to play an activity role in supporting patient compliance in treatment to prevent further complications and it is hoped that clients can adopt a healthy lifestyle by consuming food contsining low salt. 
Asuhan Keperawatan Medikal Bedah Pada Pasien Dengan Diabetes Melitus Tipe II Diruang Interne RSUD Padang Pariaman Tahun 2026 Haura Najwa Tsany; Hilma Yessi; Debby Silvia Dewi; Mike Asmaria
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 2 (2026): Juli - September
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i2.2266

Abstract

Diabetes mellitus (DM) is a disease that disrupts the body's metabolism caused by insulin production not being able to work optimally. Globally, the number of sufferers will reach 589 million people in 2024 with a mortality rate of 3.4 people. Indonesia ranks 5th in the world with 20.4 million sufferers. At Padang Pariaman Regional Hospital, this disease is ranked 4th out of 10 diseases with 567 cases in 2025, and shows an increasing trend in the internal room. The purpose of this author is to implement comprehensive medical-surgical nursing care for patients with type II diabetes mellitus. The method used is a case study of Mrs. S in the internal room of Padang Pariaman Regional Hospital on February 26-March 2, 2026. The results of case study show 5 main nursing problems which include unstable blood glucose levels, acute pain, impaired skin integrity, activity intolerance, and risk of infection. Evaluation showed a GDS level of 184 mg/dl, decreased pain to a scale of 2, and improved wound condition and patient activity, all resolved within 5 days. The risk of infection resolved within 4 days. The family is expected to play an active role in supporting the patient's adherence to medication, diet, physical activity, routine checkups, and wound care to prevent further complications.  
KORELASI TINGKAT KECEMASAN DENGAN PERILAKU PENCEGAHAN STROKE PADA LANSIA HIPERTENSI Vivi Yuderna; Mike Asmaria; Hilma Yessi; Kheniva Diah Anggita Sari; Dwi Happy Anggia Sari; Hasmita Hasmita
Jurnal Kesehatan Medika Saintika Vol 16, No 2 (2025): Desember 2025
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v16i2.30663

Abstract

Stroke merupakan penyebab kematian kedua dan penyebab disabilitas ketiga didunia. setiap tahunnya ada 13,7 juta kasus baru stroke, dan sekitar 5,5 juta kematian terjadi akibat penyakit stroke. Di Indonesia prevalensi stroke pada tahun 2018 berdasarkan diagnosa dokter pada penduduk umur > 15 tahun sebesar 10,9% atau diperkirakan sebanyak 2.120.362 orang. Faktor resiko stroke yang paling sering adalah hipertensi, merokok, dislipidemia, diabetes melitus, obesitas, dan penyakit jantung.  Hipertensi dapat dipicu oleh adanya kecemasan sehingga menyebabkan kenaikan tekanan darah. “Hubungan Kecemasan dengan Perilaku Pencegahan Stroke pada Penderita Hipertensi di Posyandu Latulip Desa Pauh Barat Kota Pariaman”. Jenis penelitian ini adalah kuantitatif dengan model pendekatan cross sectional, dilakukan secara purposive sampling yaitu sejumlah 36 orang. Hasil penelitian diperoleh  nilai  signifikansi  (p) > 0.05 yang berarti menunjukkan bahwa tidak ada hubungan signifikan antara kecemasan dengan perilaku pencegahan stroke. Simpulan gejala kecemasan pada lansia dengan hipertensi tidak berkaitan secara prospektif dengan perilaku pencegahan risiko stroke didesa Pauh Barat Kota Pariaman. Diharapkan petugas kesehatan tetap meningkatkan edukasi tentang perilaku pencegahan stroke sehingga lansia tidak beresiko terjadinya stroke.                      Keywords: hipertensi ; kecemasan ; lansia ; perilaku ; stroke