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Application of Fluid Balance Monitoring with Hypervolemia Problems in Chronic Kidney Disease (CKD) Patients in the Rosella Ward of Kardinah Regional General Hospital (RSUD) in Tegal City Adawiyah, Zulfa Robi’atul; Fadila, Erida; Syaripudin, Ahmad
INDOGENIUS Vol 4 No 2A (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i2A.696

Abstract

Background & Objective: Chronic Kidney Disease (CKD) is a progressive and irreversible decline in kidney function that causes the body to be unable to maintain metabolism and fluid and electrolyte balance, which can trigger hypervolemia. This study aims to investigate the application of fluid balance monitoring in Chronic Kidney Disease (CKD) patients with hypervolemia. Method: A descriptive method was used, incorporating case study results.  Result: Fluid balance monitoring was conducted over three days in CKD patients with hypervolemia. The results indicated that the hypervolemia issue remained unresolved, as evidenced by persistent edema in the lower extremities, unchanged urine output, and fluid balance monitoring results showing intake of 1,076 cc, output of 592 cc, and a fluid balance of +484 cc. Conclusion: Fluid balance monitoring is important in managing hypervolemia in patients with Chronic Kidney Disease (CKD), but it requires time and further approaches to achieve nursing care objectives.
Application of Wound Care Using 0.9% NaCl Solution in Patients with Type II Diabetic Ulcers in the Wijaya Kusuma Bawah Ward of Kardinah Regional General Hospital, Tegal City Tajkiatul Musaropah, Hilma; Fadila, Erida
INDOGENIUS Vol 4 No 2A (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i2A.698

Abstract

Background & Objective: Diabetic ulcers are a condition that occurs in patients with diabetes mellitus due to nerve abnormalities and peripheral artery disorders, leading to infection in wounds and tissue damage in the skin of the feet (Roza et al., 2015). The objective of this scientific study is to apply wound care and evaluate the effectiveness of wound care using 0.9% NaCl in patients with Type II diabetic ulcers. Method: The method used in this scientific study is a case study. The subject of this study is one patient with Type II Diabetic Ulcer who is undergoing treatment in the Wijaya Kusuma Bawah ward of Kardinah General Hospital in Tegal City. Data collection was conducted using interview techniques, observation, and documentation. Result: Nursing care was provided for three consecutive days. During the assessment, it was found that the patient experienced pain in the left foot wound, which had been present since September but had not healed and had worsened. The wound was dirty, smelly, and oozing pus. The intervention provided was wound care using EBN with 0.9% NaCl, implemented over three consecutive days. By the third day, the evaluation showed that skin integrity had been restored. Conclusion: The author concludes that wound care using 0.9% NaCl is effective, as there was an improvement in the wound condition.
The Application of Nesting Therapy on Thermoregulation Changes in Premature Infants in the NICU Afifah, Marlia; Fadila, Erida
INDOGENIUS Vol 4 No 2A (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i2A.700

Abstract

Background & Objective: A preterm infant is defined as a baby born before 37 weeks of gestation (Kemenkes, RI, 2024). The World Health Organization (WHO), 2023 , categorizes preterm births based on gestational age: ≤28 weeks is extremely preterm, ≤32 weeks is very preterm, and 37 weeks is moderately preterm. According to (Kemenkes, RI, 2024), the WHO estimates that 13.4 million babies were born prematurely in 2020. Indonesia ranks fifth highest in the world for premature births, with approximately 657,700 cases. One of the issues faced by premature infants is metabolic disorders, where premature infants are at risk of experiencing a decrease in body temperature due to low body fat reserves and incomplete brain maturation in regulating the infant's body temperature (Rufaindah et al., 2022). The objective is to analyze the effect of nesting therapy on changes in thermoregulation in premature infants in the NICU of Kardinah General Hospital, Tegal City. Method: descriptive study using case study results with a nursing care process approach. Instruments: pediatric nursing care format, digital thermometer. Result: The application of nesting therapy for three days on premature infants with hypothermia resulted in changes in body temperature within the normal range for premature infants. Conclusion: Nesting therapy is effective in increasing body temperature in premature infants, as their minimal movement contributes to energy conservation. This study is expected to enhance the application of developmental care, particularly in premature infants.
The Application of Video Viewing Therapy for Sensory Perception Disorders and Auditory Hallucinations at Soerojo Mental Hospital in Magelang Munandar, Mamat; Sari Purbaningsih, Endah; Fadila, Erida
INDOGENIUS Vol 4 No 2A (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i2A.704

Abstract

Background & Objective: One of the symptoms of schizophrenia is auditory hallucinations. Hallucinations are false perceptions that occur as a result of maladaptive neurobiological responses. Hallucinations can be treated using two techniques: pharmacological and non-pharmacological. Pharmacological techniques involve collaborating with a doctor to administer medication such as Haloperidol, Serenace, Lodomer, and Chlorpromazine. Non-pharmacological techniques in this study include video therapy. The objective is to determine the effectiveness of video therapy in treating sensory perception hallucinations at Magelang Mental Hospital. Method: This study uses a qualitative approach with a case study design. Result: The case study results showed that sensory perception disorders were resolved. Therefore, it can be concluded that nursing care, which includes assessment, diagnosis, intervention, implementation, and evaluation, combined with the application of video therapy, effectively reduces the level of hallucinations, frequency of hallucinations, and duration of hallucinations in schizophrenia patients. Conclusion: After implementing video therapy for 3 days, it was found that video therapy can be applied to schizophrenia patients with auditory hallucinations.
Application of Blood Transfusion Therapy in Postpartum Patients with Anemia in the Mawar Nifas Room at Kardinah Regional General Hospital, Tegal City Atmaliya, Rully; Sari Purbaningsih, Endah; Fadila, Erida
INDOGENIUS Vol 4 No 2A (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i2A.707

Abstract

Background & Objective: Iron deficiency anemia is anemia caused by a lack of iron used for hemoglobin synthesis. General symptoms of anemia include weakness, signs of hyperdynamic state with strong and rapid pulse, and palpitations. Blood transfusion is known to have the potential to overcome anemia, especially anemia in postpartum mothers. Method: This study employed a qualitative approach using a maternal nursing care approach and documented nursing care for anemia patients in the Mawar Postpartum Ward at Kardinah General Hospital in Tegal City. The intervention innovation implemented was the administration of blood transfusion therapy. Result: After continuous blood transfusion for 3 days, the patient showed a decrease in hemoglobin intensity from 7.4 g/dL to 9.0 g/dL. The patient also felt more emotionally calm, with improved dizziness and heart palpitations, and was able to perform activities. Conclusion: Blood transfusion is effective as an additional intervention for managing postpartum anemia patients. This approach also supports maternal nursing practices in improving the quality of care for anemia patients.
Effectiveness of Music Therapy on Auditory Hallucination Sensory Perception Disorder at Soerojo Mental Hospital, Magelang Maemunah, Ai; Purbaningsih, Endah Sari; Fadila, Erida
INDOGENIUS Vol 4 No 2A (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i2A.720

Abstract

Background & Objective: One of the positive symptoms of schizophrenia is hallucinations. Auditory hallucination is the perception or response of the senses (hearing) to unreal stimuli that influence an individual’s behavior. To determine the effectiveness of music therapy in auditory hallucination sensory perception disorder at Soerojo Mental Hospital, Magelang. Method: Descriptive study with application of previous case study results, using a mental health nursing care approach with the innovation of music therapy as intervention. Result: Music therapy was applied for 3 consecutive days with a 10-minute duration. The problem of sensory perception disorder was resolved, marked by a decrease in verbalization of hearing whispers, hallucinatory behavior, withdrawal, and daydreaming. Conclusion: Music therapy is effective in reducing the level, frequency, and duration of hallucinations in schizophrenic patients.
Asuhan Keperawatan Pada An. H Dengan Gastroenteritis Akut (Gea) Di Ruang Anyelir Rsud Waled Kabupaten Cirebon Oktoviani, Dewi; Fadila, Erida; Nurmala Fia, Evi; Ameliya, Kiki; Nova Jalaludin, Rizal
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): April
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Acute gastroenteritis (GEA) is one of the most common diseases in children around the world, including Indonesia. The impact of GEA if not treated immediately can cause dehydration. This study aims to apply nursing care to An. H with hypovolemia nursing problems using the nursing process, namely: assessment, nursing diagnosis, intervention, implementation, and evaluation. This type of research is descriptive with a case study form. Data collection was carried out by interview, observation, physical examination, supporting examination, and documentation with focal data of liquid stools ˃5x a day and vomiting ≥3x a day. The interventions applied are hypovolemia management and fluid monitoring with the main nursing actions of fluid rehydration. After taking nursing actions on An. H with acute gastroenteritis in treatment for 3x24 hours shows that the diagnosis/nursing problem of hypovolemia associated with active fluid loss can be resolved. It can be concluded that nursing care by providing rehydration is the first aid to prevent dehydration and restore lost body fluids during diarrhea
Ketidakefektifan Pola Nafas Pada Pasien Tn. M Dengan Chronic Kidney Disease (CKD) Di Ruang Igd Rs Gunung Jati Kota Cirebon Oktoviani, Dewi; Fadila, Erida; Nurmala Fia, Evi; Ameliya, Kiki; Nova Jalaludin, Rizal
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): April
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Chronic kidney disease can cause pulmonary edema, making it difficult for patients with CKD to breathe normally. Nonpharmacological measures that can be taken are teaching deep breath relaxation techniques that aim to increase alveoli ventilation and reduce the work of breathing. The purpose of this study was to provide an overview of nursing care for patients Mr. M with chronic kidney disease in the emergency room of Gunung Jati Hospital, Cirebon City. M with chronic kidney disease in the emergency room of Gunung Jati Hospital, Cirebon City. This type of research uses case studies. Data collection techniques were carried out by interview, observation, and study of medical record documentation. Data analysis in this case study was carried out descriptively including assessment, diagnosis, intervention, implementation, and evaluation while the patient was in the emergency room. Management of deep breath relaxation techniques, monitoring respiration and monitoring oxygen saturation carried out during patients in the emergency room can affect the improvement of the patient's tightness condition as evidenced by decreased dyspnea, improved breathing frequency, and improved oxygen saturation. It is hoped that patients can carry out the diets given and families provide support during the treatment process to improve the patient's quality of life
Nursing Care for Mr. W Diagnosed with Hemorrhoids in the Kemuning Ward of Waled Hospital in Cirebon Regency Ameliya, Kiki; Fadila, Erida; Oktoviani, Dewi; Nurmala Fia, Evi; Nova Jalaludin, Rizal
Al Makki Health Informatics Journal Vol. 2 No. 3 (2024): Al Makki Health Informatics Journal
Publisher : Al Makki Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57185/hij.v2i3.25

Abstract

Hemorrhoids are dilated blood vessels in the anus that originate from the hemorrhoidal plexus, which will cause discomfort resulting in swelling commonly called hemorrhoids or hemorrhoids. The purpose of this study was to describe the identification of nursing care in patients with a medical diagnosis of hemorrhoids in the Kemuning room of Waled Hospital, Cirebon Regency. This research method is a qualitative descriptive research conducted at Waled Hospital. Data was collected through observation, interviews, and medical record documentation studies. The main focus of the research is on the nursing problems that arise, such as acute pain, and the interventions provided, such as relaxation techniques. The results showed that relaxation techniques are one of the effective interventions in reducing acute pain in patients with hemorrhoids. Before the intervention, patients often experience pain with a scale level of 5, which is shown by grimacing expressions. However, after doing relaxation therapy, the patient's pain scale decreased to 3, and the patient's expression seemed calmer. This study implies that non-pharmacological techniques such as relaxation can be a practical companion to pharmacological therapy in pain management in hemorrhoidal patients. Emphasis on holistic and individualized nursing care is essential in improving the quality of care for patients with this medical condition.
Optimalisasi Asuhan Keperawatan Untuk Meningkatkan Konsep Diri Pada Pasien Skizofrenia Dengan Harga Diri Rendah Kronis Oktoviani, Dewi; Fadila, Erida; Nurmala Fia, Evi; Ameliya, Kiki; Nova Jalaludin, Rizal
MEJORA Medical Journal Awatara Vol 2 No 4 (2024): October
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i4.249

Abstract

High-quality nursing care is key to improving the overall quality of health services and the image of healthcare institutions in the eyes of the public. This study highlights the importance of continuous assessment and improvement of nursing practice on professional standards. The research methodology employed was descriptive qualitative, focusing on holistic nursing care for patients with Paranoid Schizophrenia at Room Lily 12 of RS Soerojo. Through comprehensive observation and interviews with patients, families, and the healthcare team, along with medical record analysis, this study explores the patients' experiences in various aspects of social interaction and responses to interventions, aiming to develop individualized and holistic care strategies. Therapeutic approaches utilized include Cognitive Behavioral Therapy (CBT), psychoeducation, and schizophrenia counseling. Nurses play an active role in the formulation of a comprehensive care plan that includes medication, cognitive behavioral therapy, and family support, which has been shown to strengthen self-concept. Collaboration with psychiatrists and other health professionals adds a medicinal and holistic dimension to the care plan.