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Journal : Multidisciplinary Indonesian Center Journal

FAMILY NURSING CARE FOR Mr. S ON THE PATIENT TYPE II DIABETES MELLITUS WITH A FOCUS ON ACTION FOOT EXERCISES TO LOWER BLOOD SUGAR BLOOD AT THE PUBLIC HEALTH CENTER AREA MANDIRAJA I DISTRICT BANJARNEGARA Pramudipta Fajar Sulaiman; Sudiarto; Wiwik Priyatin
Multidisciplinary Indonesian Center Journal (MICJO) Vol. 2 No. 2 (2025): Vol. 2 No. 2 Edisi April 2025
Publisher : PT. Jurnal Center Indonesia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/micjo.v2i2.491

Abstract

Background: Indonesia is currently facing a double burden of diseases, namely infectious diseases and non-communicable diseases, one of which is diabetes mellitus. Diabetes mellitus is a metabolic disorder with insufficient insulin produced by the body. Objective: The purpose of this study was to carry out family nursing care with diabetes mellitus using foot exercises to reduce blood sugar levels during. Methods: The subject of this study was a patient with diabetes mellitus who focused on family nursing care foot exercises as a complementary therapy. The research was conducted in the Mandiraja 1 health center area of Banjarnegara district. This research uses descriptive methods in the form of case studies. Results: Case studies on Mr. S clients with diabetes mellitus, the results showed that foot exercises can reduce blood sugar levels during the 3 visits to do foot exercises a week. Conclusion: The conclusion of the family case of Mr. S as a patient with diabetes mellitus is that the problem is resolved as expected. After implementation for 3 visits, the evaluation results found that Mr. S family for the diagosa found. S's family for the diagosa found.
NURSING CARE FOR NY.L PATIENTS WITH SCHIZOPHRENIA AUDITING HALLUCINATIONS USING TECHNIQUE INTERVENTION Stevi Febi Arianti; Fida Dyah Puspasari; Sudiarto
Multidisciplinary Indonesian Center Journal (MICJO) Vol. 2 No. 2 (2025): Vol. 2 No. 2 Edisi April 2025
Publisher : PT. Jurnal Center Indonesia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/micjo.v2i2.505

Abstract

Background: Hallucinations are where the client cannot differentiate between something that is real and not real. One of the hallucinations that many people experience with schizophrenia is auditory hallucinations. One of the efforts made to overcome hallucinations is by using rebuke of hallucinations. By using the rebuke technique, it is hoped that the level of hallucinations in patients can decrease. Objective: To determine the process of nursing care for schizophrenic patients with sensory perception disorders, auditory hallucinations, using rebuke technique intervention. Method: Using descriptive research with a nursing care approach. Results: The results of the study showed that the signs of hallucinations decreased after the rebuke was carried out. Conclusion: Nursing care was successful and the rebuke technique was able to reduce the frequency of hallucinations.
OVERVIEW OF MORINGA LEAF PUDDING ADMINISTRATION ON HEIGHT AND WEIGHT IN STUNTED CHILD An. M IN JETIS VILLAGE, KEMANGKON DISTRICT, PURBALINGGA REGENCY VILLAGE Umaisah, Fitri; Priyatin Sulistyowati; Sudiarto
Multidisciplinary Indonesian Center Journal (MICJO) Vol. 2 No. 4 (2025): Vol. 2 No. 4 Edisi Oktober 2025
Publisher : PT. Jurnal Center Indonesia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/micjo.v2i4.1422

Abstract

Stunting is a condition of failure to thrive in children under 5 years of age due to chronic malnutrition, especially in the first 1.000 days of life (HPK), which is apparent after the child is years old, resulting in the child being shorter than thein peers In Purbalingga Regency, the prevalence of stunting in toddlers is 26,8 %, wasting in toddlers is 6,5 %, and underweight in toddlers 16,1%. The prevalence of stunting in Purbalingga Regency remains relatively high, thus requiring affordable and safe local nutritional interventions to support the growth and development of children under five. One of the alternative approaches to address stunting is through the provision of moringa leaf pudding. This study aimed to determine the changes in body weight and height after the administration of moringa leaf pudding in a stunted toddler over a 14-day intervention. This qualitative case study was conducted on a two-year-old stunted toddler (An. M). The intervention consisted of providing 100 grams of moringa leaf pudding every two days (a total of seven servings) over 14 days. Anthropometric measurements were taken at baseline (before intervention), at the seventh meeting, and at the end of the intervention (fourteenth meeting). In addition, observation of pudding acceptance and a brief interview with the family regarding dietary habits were conducted. After receiving moringa leaf pudding every two days for 14 days, the toddler experienced a weight gain of 0.4 kg and an increase in height of 0.9 cm. Observations indicated that the child accepted the moringa leaf pudding well, although mild boredom occurred midway through the intervention. Interviews with the family revealed that the provision of moringa leaf pudding improved the toddler’s appetite, leading to measurable weight and height gains. The provision of moringa leaf pudding every two days for 14 days had a positive effect on increasing body weight and height in this case of a stunted toddler. Therefore, moringa leaf pudding may serve as an alternative nutritional support to improve the growth of stunted children, particularly in regions with a high prevalence of stunting.
NURSING CARE FOR SENSORY PERCEPTION DISTURBANCE: VISUAL HALLUCINATIONS IN MR. S WITH A FOCUS ON DHIKR INTERVENTION AT DR. RM SOEDJARWADI REGIONAL MENTAL HOSPITAL, KLATEN Asiah, Yayuk Nur; Fida dyah Puspasari; Sudiarto
Multidisciplinary Indonesian Center Journal (MICJO) Vol. 2 No. 4 (2025): Vol. 2 No. 4 Edisi Oktober 2025
Publisher : PT. Jurnal Center Indonesia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/micjo.v2i4.1423

Abstract

Background: Visual hallucinations are sensory perception disturbances in which individuals perceive objects or shadows that do not actually exist, even though they appear vivid and real. Therefore, nursing interventions are needed to reduce the occurrence of visual hallucinations in patients, one of which is through dzikir (remembrance of Allah). Linguistically, dzikir comes from the word dzakar, which means remembering. Remembering Allah implies maintaining one’s consciousness toward Him by following specific etiquettes prescribed in the Qur’an and Hadith. The purpose of dzikir is to purify the heart and glorify Allah SWT. Purpose: To determine the implementation of nursing care for patients with sensory perception disturbances: visual hallucinations, with a focus on dzikir practice. Method: This study used a descriptive method in the form of a case study. Results: The case study showed that the patient was able to carry out SP 1–3 with a focus on dzikir practice, as indicated by behavioral changes such as feeling calmer, being able to recite dzikir independently, and experiencing reduced hallucinations. This suggests that dzikir is quite effective. Conclusion: Nursing care for patients with sensory perception disturbances, specifically visual hallucinations, with a focus on dzikir intervention over three days, can help control hallucinations
ASUHAN KEPERAWATAN HARGA DIRI RENDAH DENGAN FOKUS TINDAKAN MENGIDENTIFIKASI KEMAMPUAN ASPEK POSITIF Ambar Widyowati; Sudiarto; Wiwik Priyatin
Multidisciplinary Indonesian Center Journal (MICJO) Vol. 2 No. 1 (2025): Vol. 2 No. 1 Edisi Januari 2025
Publisher : PT. Jurnal Center Indonesia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/micjo.v2i1.352

Abstract

Data Riset Kesehatan Dasar (2018) banyaknya penderita skizofrenia di Indonesia sampai berkisar 400.000 individu atau 1,7 per 1.000 masyarakat. Skizofrenia suatu gangguan yang berpengaruh pada otak sehingga seseorang menjadi terganggu perilaku, pikiran, presepsi dan juga emosi. Gejala skizofrenia dengan harga diri rendah ditandai rasa ketidakmampuan, berperasaan negatif ke diri sendiri, tidak percaya diri, tidak berharga serta keputusasaan yang jika tidak segera di tangani akan menyebabkan depresi. Intervensi yang diberikan yaitu melatih kelebihan positif dan mengidentifikasi kemampuan pada diri individu klien. Melaksanakan asuhan keperawatan mengidentifikasi kemampuan aspek positif yang di miliki klien dengan gangguan konsep diri harga diri rendah. Metode: Deskriptif kualitatif dengan pendekatan studi kasus. Hasil: Setelah dilakukan asuhan keperawatan selama 4 hari didapatkan pasien sudah paham cara mengidentifikasi aspek positif dan melatih kemampuan yang dimiliki. 
GAMBARAN PEMBERIAN RENDAMAN AIR JAHE MERAH HANGAT TERHADAP PENURUNAN NYERI ASAM URAT PADA NY.M Sudiarto; Naendri Endarning Tyas; Wiwik Priyatin
Multidisciplinary Indonesian Center Journal (MICJO) Vol. 2 No. 1 (2025): Vol. 2 No. 1 Edisi Januari 2025
Publisher : PT. Jurnal Center Indonesia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/micjo.v2i1.356

Abstract

Latar Belakang : Asam urat merupakan hasil postmetabolisme akhir dari purin dan merupakan salah satu komponen asam nukleat yang berada dalam inti sel tubuh. Peningkatan kadar asam urat dapat menyebabkan gangguan pada tubuh manusia seperti nyeri hebat pada persendian. Nyeri adalah sensasi yang tidak menyenangkan akibat kerusakan jaringan yang actual dan potensial. Nyeri dapat mengakibatkan perasaan yang tidak menyenangkan seperti rasa terbakar, mati rasa, rasa seperti diiris atau ditusuk. Merendam kaki dengan air jahe merah hangat dapat membantu mengurangi nyeri arthritis karena hangatnya. Jahe mengandung Oleorasin atau Zingerol yang dapat menghambat prostaglandin, sehingga nyeri mereda. Tujuan : Untuk mengetahui gambaran pemberian rendaman air jahe merah hangat terhadap penurunan nyeri asam urat pada lansia di wilayah puskesmas Kemangkon Kabupaten Purbalingga. Hasil : Setelah 3 hari pemberian rendaman air jahe merah hangat terhadap penderita asam urat terjadi penurunan nyeri dari skala 6 turun menjadi 2 dan kadar asam urat. Kesimpulan : Pemberian rendaman air jahe merah hangat mampu menurunkan nyeri pada penderita asam urat.
ASUHAN KEPERAWATAN PADA Tn. B GANGGUAN PERSEPSI SENSORI HALUSINASI PENDENGARAN DENGAN FOKUS TINDAKAN TERAPI MUSIK DI RSJD Dr. RM. SOEDJARWADI KLATEN Amalia Anggun Pramesti; Sudiarto; Wiwik Priyatin
Multidisciplinary Indonesian Center Journal (MICJO) Vol. 2 No. 1 (2025): Vol. 2 No. 1 Edisi Januari 2025
Publisher : PT. Jurnal Center Indonesia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/micjo.v2i1.387

Abstract

Berdasarkan Data Riset Kesehatan Dasar (Riskesdas) (2018), di Indonesia, penderita skizofrenia sekitar 6,7% dari 282,654 penduduk. Satu ciri khas skizofrenia adalah halusinasi sensori, salah satunya pada sensori pendengaran. Halusinasi pendengaran biasa mendengar suara-suara tetapi orang lain tidak mendengar. Apabila halusinasi tidak ditangani dengan baik, maka dapat menimbulkan risiko terhadap keamanan diri pasien sendiri, orang lain, juga lingkungan sekitar. Salah satu cara untuk menurunkan halusinasi pendengaran yaitu dengan terapi musik. Penelitian bertujuan untuk mengetahui asuhan keperawatan pada pasien gangguan persepsi sensori hausinasi pendengaran dengan fokus tindakan terapi musik. Menggunakan metode deskriptif dengan pendekatan asuhan keperawatan. Hasil setelah dilakukan terapi musik klasik ini diberikan selama 2 kali sehari (pagi, siang) dengan durasi 10-15 menit selama 3 hari dengan menggunakan MP3 dan headset frekuensi halusinasi menurun. Didapatkan kesimpulan terapi musik klasik dapat menurunkan frekuensi halusinasi pendengaran. Kata Kunci : Halusinasi, Musik, Skizofrenia
PENERAPAN KOMPRES HANGAT BULI-BULI UNTUK MENURUNKAN INTENSITAS NYERI PADA Ny. D DENGAN GOUT ARTHRITIS DI WILAYAH PUSKESMAS KUTASARI KABUPATEN PURBALINGGA Lisa Agustina; Sudiarto; Fida Dyah Puspasari
Multidisciplinary Indonesian Center Journal (MICJO) Vol. 2 No. 1 (2025): Vol. 2 No. 1 Edisi Januari 2025
Publisher : PT. Jurnal Center Indonesia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/micjo.v2i1.390

Abstract

Berdasarkan data Riskesdas (2018), persentase permasalahan sendi gout arthritis di Indonesia sebanyak 7,3% dari diagnosis dokter. Gout arthritis merupakan penyakit metabolik yang ditandai dengan adanya penumpukan kristal urat sehingga menimbulkan nyeri pada persendian. Nyeri merupakan rusaknya jaringan yang menimbulkan rasa sakit dan ketidaknyamanan pada penderitanya. Dampak dari serangan gout arthritis berulang akan mengakibatkan kerusakan dan kecacatan karena kontraktur sendi. Salah satu penanganan nonfarmakologi pada penderita gout arthritis yaitu dengan kompres hangat buli-buli yang dapat menurunkan intensitas nyeri. Tujuan penelitian untuk menggambarkan penerapan kompres hangat buli-buli untuk menurunkan intensitas nyeri pada pasien Gout Arthritis. Metode yang digunakan adalah metode deskriptif kualitatif dengan pendekatan studi kasus. Hasil setelah dilakukan kompres hangat buli-buli selama 20 menit dalam waktu 3 hari terjadi penurunan intensitas nyeri dengan rata-rata 2 sampai 3. Kesimpulan yang dapat diambil kompres hangat buli-buli terbukti menurunkan intensitas nyeri gout arthritis. Kata Kunci : Gout Arthritis, Nyeri, Kompres Hangat Buli-Buli
ASUHAN KEPERAWATAN PADA Tn. S SKIZOFRENIA RISIKO PERILAKU KEKERASAN DENGAN FOKUS TINDAKAN DZIKIR DI RUANG FLAMBOYAN RSJD Dr. RM. SOEDJARWADI KLATEN Nurizky Sephia Putri; Fida Dyah Puspasari; Sudiarto
Multidisciplinary Indonesian Center Journal (MICJO) Vol. 2 No. 1 (2025): Vol. 2 No. 1 Edisi Januari 2025
Publisher : PT. Jurnal Center Indonesia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/micjo.v2i1.432

Abstract

Skizofrenia adalah gangguan mental dengan ciri-ciri perilaku dan percakapan yang tidak biasa, pikiran yang tak teratur, keyakinan yang keliru, dan pengalaman halusinasi. Salah satu masalah utama bagi individu dengan skizofrenia adalah risiko perilaku kekerasan. Risiko perilaku kekerasan adalah perilaku yang menunjukkan kemungkinan untuk mengancam keselamatan diri sendiri, orang lain, dan lingkungan, baik secara fisik, emosional, seksual, maupun verbal. Salah satu strategi yang diajarkan adalah terapi spiritual dzikir, di mana individu mendekatkan diri pada keyakinan yang diyakini. Penelitian terkait terapi spiritual dzikir menunjukkan bahwa penggunaannya dapat mengurangi gejala dan tanda risiko perilaku kekerasan, sambil meningkatkan kemampuan kognitif pasien. Penelitian ini bertujuen untuk mendapatkan gambaran nyata tentang skizofrenia dengan risiko perilaku kekerasan yang berfokus pada tindakan dzikir di ruang flamboyan Rumah Sakit Jiwa Daerah Dr. RM. Soedjarwadi Klaten. Menggunakan metode deskriptif dengan pendekatan asuhan keperawatan. Setelah dilakukan tindakan tanda dan gejala risiko perilaku kekerasan menurun setelah dilakukan dzikir berupa Astaghfirullah 33 kali, Subhanallah 33 kali, Alhamdulillah 33 kali, Allahu Akbar 33 kali yang dilakukan pada waktu pagi hari (08.00) dan siang hari (12.30) selama 3 hari dalam waktu 30 menit. Kesimpulan yang dapat diambil yaitu asuhan keperawatan pada Tn. S skizofrenia risiko perilaku kekerasan selama tiga hari dengan fokus tindakan dzikir terdapat penurunan tanda dan gejala risiko perilaku kekerasan. Kata kunci: Skizofrenia, Risiko perilaku kekerasan, Dzikir
ASUHAN KEPERAWATAN PADA Tn.M SKIZOFRENIA HALUSINASI PENDENGARAN DENGAN INTERVENSI MENGONTROL HALUSINASI BERCAKAP-CAKAP DENGAN ORANG LAIN DI RUMAH SAKIT DR. RM SOEDJARWADI KLATEN Fikri Wiliyanto; Fida Dyah Puspasari; Sudiarto
Multidisciplinary Indonesian Center Journal (MICJO) Vol. 2 No. 1 (2025): Vol. 2 No. 1 Edisi Januari 2025
Publisher : PT. Jurnal Center Indonesia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/micjo.v2i1.433

Abstract

In Indonesia, the prevalence of schizophrenia/psychosis is around 6.7 per 1000 households. Hallucinations are a condition that befalls individuals with mental disorders which results in changes in the patient's subjective perception, which is characterized by the patient experiencing sensations such as sound, sight, taste and touch without any clear stimulation. If not treated immediately, the symptoms will get worse and can cause harm. self. One effective method for controlling schizophrenia is to encourage people to interact or converse with other people. The benefit of the activity is that it prevents hallucinations from occurring. The aim of the research is to determine the description of nursing care for patients with schizophrenic auditory hallucinations with a focus on the act of conversing with other people. Using descriptive methods by managing patients arranged in nursing care, functions to create systematic, real and precise descriptions of the facts.  The results of focused therapeutic actions on conversing with other people for 3 days can reduce the signs and symptoms of auditory hallucinations. This is proven when conversing with other people, the patient focuses on the conversation and can avoid whispers that are not real to the patient. It was concluded that the technique of conversing with other people can prevent signs and symptoms of auditory hallucinations.