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Sriwiyati, Lilik
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Pengaruh Relaksasi terhadap Penurunan Tekanan Darah pada lansia Hipertensi: Tinjauan Sistematik Safaruddin; Cristina, Tri Yahya; Andika, I Putu Juni; Sriwiyati, Lilik; Sapta, Monika Wulan
Jurnal Kesehatan Komunitas Vol 11 No 2 (2025): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol11.Iss2.2070

Abstract

Hypertension is a condition characterized by elevated blood pressure above 140/90 mmHg, which can lead to serious health problems, particularly heart disease. Managing hypertension in the elderly requires effective health strategies, especially non-pharmacological treatments, to control its impact. This study aims to review the effect of relaxation on lowering blood pressure in elderly individuals with hypertension. The method used was PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis), and relevant articles were searched through three databases: PubMed, Google Scholar, and ScienceDirect. A total of 1234 articles were initially identified, but after screening based on specific criteria, only 10 articles met the requirements for the literature review. Overall, relaxation had a positive impact on elderly individuals with hypertension. This systematic review found evidence that relaxation techniques are an effective non-pharmacological method to reduce blood pressure and stress in hypertensive elderly individuals, and they also help improve quality of life by better managing blood pressure and reducing physical and psychological burdens.
Pengaruh Pendidikan Kesehatan tentang DHF Menggunakan Metode Audiovisual terhadap Tingkat Pengetahuan Anak Warsini, Warsini; Sriwiyati, Lilik
Jurnal Kesehatan Holistic Vol. 4 No. 2 (2020): Jurnal Kesehatan Holistic Volume 4/Nomor 2/Juli 2020
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (491.74 KB) | DOI: 10.33377/jkh.v4i2.82

Abstract

Dengue Hemorrhagic Fever (DHF) has become a health problem in Indonesia for the past 47 years. An increase in DHF cases has occurred since 1968 and was still happened until 2015. One alternative to decrease the incidence rate of DHF was increase knowledge using health education. The aim of the study was to know the effect of health education about DHF using audiovisual methods on the level of knowledge in children. This research was observational analytic that was quasi experiment with pre and post experimental design. Subjects were 46 students in Gentan 01 Elementary School, sampel has been taken using saturated sampling techniques. The Results showed that the value of respondents' knowledge after giving health education using audiovisual media (Mean= 82.39; SD= 7.58) is greater than before giving health education (Mean= 76.09; SD= 9.00) with Effect Size (Cohens'd ) = 1.1753 and p = 0,001. The conclusion of this research showed there is an effect of health education about DHF using audivisual methods on the level of knowledge of children (p = <0.001; 95% CI -8.391 to -4.218).
Effication of Convalence Plasma Therapy in Covid-19 Patients: Systemic Review and Meta – Analysis Diyono, Diyono; Sriwiyati, Lilik
Jurnal Kesehatan Holistic Vol. 6 No. 2 (2022): Jurnal Kesehatan Holistic Volume 6/ Nomor 2/ Juli 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (761.398 KB) | DOI: 10.33377/jkh.v6i2.140

Abstract

Introduction: COVID-19 has developed into a global pandemic and until now no definitive therapy has been found. COVID-19 mortality is relatively high, especially in patients who have comorbidities. Convalescent plasma therapy, which has been widely used, has not been universally recognized as being able to improve the recovery of COVID-19 patients. Objective: This study aims to determine the efficacy of convalescent plasma therapy in COVID-19 patients. Methods: The research design is a systematic review and meta analysis. Data were obtained from the electronic journal database PubMed, Cochrane Library, ProQuest, SpringerLink, ScienceDirect, Scopus, and Google Scholar with Medical Subject Heading (Mesh) "Effication Plasma Convalescent Therapy, SARS CoV-2". Data were analyzed using PRISMA guidelines. Result: The results of the study: 1) There was no difference in the risk or mortality rate of Covid-19 patients given convalescent plasma therapy with those given standard therapy (OR: 1.004; CI; 0.817 - 1.234; p = 0.970), 2) The recovery rate of COVID-19 patients given convalescent plasma therapy did not differ from those given standard therapy (OR: 0.996; CI: 0.810 – 1.224; p = 0.970). Conclusion: convalescent plasma therapy did not provide sufficient efficacy in the healing process of COVID-19 patients with moderate to severe symptoms.
PENINGKATAN KESEHATAN MASYARAKAT: UPAYA PENCEGAHAN DAN PENGENDALIAN PENYAKIT KARDIOVASKULER MELALUI DETEKSI DINI KADAR KOLESTEROL Christina, Tri Yahya; Andika, I Putu Juni; Safaruddin, Safaruddin; Yulianti, Tunjung Sri; Sriwiyati, Lilik; Oktiva, Yayuk Dwi; Fatimah, Khoirunnisa
GLOBAL ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2025): Mei 2025, GLOBAL ABDIMAS
Publisher : Unit Publikasi Ilmiah Perkumpulan Intelektual Madani Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51577/globalabdimas.v5i1.664

Abstract

Kolesterol diperlukan oleh tubuh manusia untuk menghasilkan sel-sel sehat. Namun, kadar kolesterol yang terlalu banyak dalam darah dapat meningkatkan risiko penyakit kardiovaskuler dan penyakit berbahaya lainnya. Penumpukan lemak ini dapat menghalangi aliran darah di arteri, sehingga jantung dan otak serta organ vital lainnya tidak mendapatkan pasokan darah yang kaya oksigen. Oleh sebab itu perlu adanya deteksi dini kadar kolesterol sebagai upaya prefentif. Namun, banyak orang yang enggan menjalani skrining hiperkolesterolemia, dengan alasan yang bervariasi, seperti biaya, sulitnya akses ke lokasi pemeriksaan, keterbatasan fasilitas, dan kendala waktu. Oleh karena itu, penting untuk melaksanakan program pengabdian masyarakat guna memfasilitasi hal ini. Pengabdian masyarakat ini dilaksanakan pada hari sabtu 22 Februari 2025 di Soko Bogor, Cawas, Klaten, Jawa Tengah dengan pemeriksaan kolesterol gratis. Tujuh puluh lima peserta mengikuti kegiatan ini. Pemeriksaan dilakukan dengan metode Point Of Care Testing (POCT) menggunakan alat Easy Touch GCU. Hasil menunjukkan bahwa sebagian besar (33,33%) peserta adalah lansia akhir berusia 56 – 65 th, 72% peserta adalah Perempuan, dan 33,33% peserta memiliki BB antara 50-60 Kg. Pemeriksaan kolesterol mendapatkan hasil: 48% peserta normal dan 52% peserta mengalami hiperkolesterol, dimana 17,94% peserta yang mengalami hiperkolesterol adalah laki- laki dan 79,48 peserta adalah perempuan. Hasil ini menyimpulkan bahwa sebagian besar warga yang mengikuti kegiatan pengabmas mengalami hiperkolesterol, yang merupakan salah satu faktor risiko penyakit kardiovaskuler dan PTM lainnya. Oleh sebab itu perlu adanya interfensi lebih lanjut sebagai pencegahan penyakit kardiovaskuler
Evaluasi pelaksanaan pemantauan early warning score di tatanan perawatan medikal bedah Christina, Tri Yahya; Putri, Rosalia Dian Arsyta; Safaruddin, Safaruddin; Sriwiyati, Lilik; Andika, I Putu Juni; Yulianti, Tunjung Sri
Holistik Jurnal Kesehatan Vol. 19 No. 11 (2026): Volume 19 Nomor 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i11.1990

Abstract

Background: Deterioration in the condition of hospitalized patients is common and can have a more serious prognosis. Therefore, accurate and continuous monitoring of vital signs is crucial. The Early Warning Score (EWS) was developed as an effort to detect deterioration in patient condition early. Comprehensive and continuous EWS parameters, supported by clear implementation standards, are expected to save patients from deteriorating conditions. However, in medical-surgical care practices in Indonesia, the implementation of EWS monitoring still faces various obstacles that have the potential to delay early detection of patient deterioration, thus impacting patient safety. Therefore, an evaluation is needed. Purpose: To evaluate the implementation of Early Warning Score (EWS) monitoring in medical-surgical care settings. Method: This is a mixed-methods study with an exploratory sequential design. The sample consisted of 130 medical records and eight nurses who met the inclusion criteria. The medical record data obtained were analyzed using univariate analysis, while interview results were analyzed using content analysis. Results: The completeness of the EWS form remained at 44%, the accuracy of monitoring frequency was 12%, and the accuracy of the total score calculation was 3.8%. Several parameters contributing to the low level of form completeness include: blood sugar, which yielded a relatively low score (65%), followed by monitoring date (75%), level of consciousness (84%), monitoring frequency (86%), escalation scale (88%), initials (88%), blood pressure (89%), total score (89%), and suboptimal temperature (90%). These results align with the interview results, which yielded four themes: monitoring compliance, documentation compliance, appropriateness of temperature parameters, and non-specific EWS forms. Conclusion: Implementation of EWS monitoring in medical-surgical care settings still faces challenges that impact the effectiveness of the early warning system for patient deterioration. The study findings indicate a potential need for updating and/or developing the EWS system to meet hospital needs.   Keywords: Documentation; Early Warning System; Medical Surgical Nursing; Monitoring.   Pendahuluan: Penurunan kondisi pasien di rawat inap sering terjadi, bahkan memiliki proknosis yang lebih serius. Oleh sebab itu, pemantauan tanda-tanda vital yang akurat dan berkesinambungan sangat diperlukan. Early Warning Score (EWS) dikembangkan sebagai upaya untuk mendeteksi perburukan kondisi pasien sejak dini. Parameter EWS yang lengkap dan berkesinambungan yang didukung dengan standar implementasi yang jelas, diharapkan mampu menyelamatkan pasian dari kondisi yang lebih buruk. Namun, dalam praktik perawatan medikel bedah di Indonesia, pelaksanaan pemantauan EWS masih menghadapi berbagai kendala yang berpotensi menunda deteksi dini perburukan kondisi pasien yang berdampak pada keselamatan pasien. Oleh karena itu, evaluasi diperlukan. Tujuan: Untuk mengevaluasi pelaksanaan pemantauan Early Warning Score (EWS) dalam tatanan perawatan medikal bedah. Metode: Penelitian mixed-method dengan explanatory sequential design. 130 rekam medis dan 8 perawat yang sesuai kriteria inklusi diambil sebagai sampel. Data rekam medis yang diperoleh diolah secara univariat, sedangkan hasil wawancara diolah berdasar metode content analysis. Hasil: Kelengkapan pengisian formulir EWS masih mencapai 44%, ketepatan frekuensi monitoring 12%, dan ketepatan perhitungan total skor 3.8%. Beberapa parameter yang menyebabkan rendahnya tingkat kelengkapan pengisian formulir antara lain: parameter gula yang memberikan angka cukup rendah (65%), diikuti oleh tanggal pengjakian (75%), tingkat kesadaran (84%), frekuensi monitor (86%), skala eskalasi (88%), inisial (88%), tekanan darah (89%), total skor (89%), serta parameter suhu yang belum optimal (90%). Hasil ini sejalan dengan hasil wawancara yang menghasilkan 4 tema, yaitu kepatuhan pemantauan, kepatuhan dokumentasi, kesesuaian parameter suhu, dan formulir EWS yang tidak spesifik. Simpulan: Implementasi pemantauan EWS di tatanan praktik perawatan medikal bedah masih menghadapi tantangan yang memengaruhi efektivitas sistem peringatan dini perburukan pasien. Hasil penelitian menunjukkan adanya potensi kebutuhan pembaharuan dan atau pengembangan sistem EWS sesaui kebutuhan rumah sakit.   Kata Kunci: Dokumentasi; Early Warning Score; Medikal Bedah; Pemantauan; Perawatan.
Analysis of documentation quality for early warning score monitoring Inpatient: retrospective observational study Christina, Tri Yahya; Arsyta Putri, Rosalia Dian; Safaruddin, Safaruddin; Sriwiyati, Lilik; Andika, I Putu Juni; Yulianti, Tunjung Sri; Khairunisa, Fatimatuzzahra
JOURNAL OF Mental Health Concerns Vol. 4 No. 4 (2025): December Edition 2025
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i4.1970

Abstract

Background: One of the vital signs monitoring systems currently being developed in medical-surgical wards is the Early Warning Score (EWS). However, its implementation still needs to be evaluated, given the frequent occurrence of code blues and even deaths in the ward due to delays in recognizing deteriorating patient conditions. Purpose: To determine and analyze the quality of documentation regarding the implementation of EWS monitoring in patient setting. Method: A retrospective survey of patient medical records, supported by an assessment tool. Medical records were collected based on inclusion criteria, namely medical records from both medical and surgical wards. Results: The completeness of the EWS form was still quite low at 44%, with monitoring frequency accuracy at 12%, and total score calculation accuracy at 3.8%. Several important parameters that were incomplete and needed improvement included blood sugar (65%), which was the component with the lowest achievement; level of consciousness (84%), blood pressure (89%), temperature (90%), total score (89%), and escalation scale (88%), which was still suboptimal. Conclusion: The significant gap between the implementation of EWS monitoring and the accuracy of its documentation indicates that nurses' consistent documentation of EWS monitoring needs to be improved. This condition increases the risk of clinical deterioration, delayed intervention, serious complications, and even death. Inaccurate documentation also hinders interprofessional communication and increases the potential for clinical errors. Keywords: Documentation; Early Warning Score; Medical-Surgical Room; Patient Deterioration; Vital Signs.
Pengaruh penggunaan electronic early warning score record terhadap persepsi kegunaan dan kemudahan penggunaan perawat di area perawatan medikal Christina, Tri Yahya; Suhartini, Suhartini; Erawati, Meira; Safaruddin, Safaruddin; Sriwiyati, Lilik; Yulianti, Tunjung Sri
Holistik Jurnal Kesehatan Vol. 20 No. 2 (2026): Volume 20 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i2.2945

Abstract

Background: As a new technology in abortion, it is important to explore the perceived usefulness and ease of use of the E-EWSrecord application among potential users. Previous research has explored the issue of perceived usability. Comprehensive research on the perceived usefulness and ease of use of E-EWS technology is limited. These two factors are crucial in decision-making regarding the development of new technologies in the field of abortion. Purpose: To determine the effect of E-EWSrecord use on nurses' perceived usefulness and ease of use in medical care. Method: A quantitative study using a pre-experimental, single-group pre-post-test approach was conducted in the medical ward of a hospital in Solo Baru, from January 21 to March 3, 2022. A total of 77 nurses participated according to predetermined criteria. The researchers used the E-EWSrecord application as a research tool and a questionnaire on perceived usefulness and perceived ease of use as research instruments to assess nurses' perceptions. The Wilcoxon test was used to analyze the results. Results: A total of 64 nurses (83.1%) considered E-EWSrecord very useful in their work and found it very easy to use. There was a significant difference in nurses' perceptions of usability and ease of use between before and after direct use of E-EWSrecord for 7 shifts, with a P-value of 0.000 and an effect size of 0.422. Conclusion: The direct trial of E-EWSrecord was shown to have an impact on nurses' perceptions of usability and ease of use. The use of E-EWSrecord can improve patient safety and enhance patient quality of life. E-EWSrecord allows for better monitoring of patient conditions, faster recognition of changes in patient conditions by the healthcare team, allowing patients to receive prompt and appropriate care. It also demonstrates nurses' commitment to patients through technology in care. Suggestion: Hospitals can implement electronic medical records (E-EWS) as a strategy to improve service quality, reduce nurse workload, reduce costs associated with paper-based documentation, increase service time efficiency, and enhance patient safety.   Keywords: Electronic Medical Records with Early Warning Score; Perceived Ease of Use; Perceived Usefulness; Medical Wards; Technology in Nursing.   Pendahuluan: Sebagai teknologi baru dalam keperawatan, aplikasi E-EWSrecord penting dilakukan eksplorasi terkait persepsi kegunaan dan kemudahan penggunaan perawat sebagai calon pengguna. Peneliti sebelumnya telah banyak mengeksplorasi mengenai persepsi kegunaan. Penelitian lengkap terkait persepsi kegunaan dan kemudahan penggunaan teknologi E-EWS masih terbatas. Dua hal tersebut merupakan faktor penting dalam pengambilan keputusan dari sebuah pengembangan teknologi baru di keperawatan. Tujuan: Untuk mengetahui pengaruh penggunaan E-EWSrecord terhadap persepsi kegunaan dan kemudahan penggunaan perawat di area perawatan medikal. Metode: Penelitian kuantitatif dengan pendekatan pra experimental one group pre-post-test yang dilakukan di ruang perawatan medikal salah satu rumah sakit di Solo Baru, pada tanggal 21 Januari hingga 3 Maret 2022. Sebanyak 77 perawat terlibat sesuai kriteria yang ditentukan. Peneliti menggunakan aplikasi E-EWSrecord sebagai alat penelitian serta kuesioner perceived usefulness & perceived ease of use sebagai instrumen penelitian untuk mencari persepsi perawat. Uji Wilcoxon digunakan untuk menganalisis hasil penelitian. Hasil: Sejumlah 64 perawat (83.1%) memiliki persepsi bahwa E-EWSrecord sangat berguna dalam pekerjaannya dan berpersepsi bahwa E-EWSrecord sangat mudah digunakan. Terdapat perbedaan yang signifikan terkait persepsi kegunaan dan kemudahan penggunaan perawat, antara sebelum dengan setelah penggunaan E-EWSrecord secara langsung selama 7 shift, dengan P-value 0.000 dan effect size 0.422. Simpulan: Percobaan E-EWSrecord secara langsung terbukti memberikan pengaruh terhadap perubahan persepsi kegunaan dan kemudahan penggunaan perawat. Penggunaan E-EWSrecord dapat meningkatkan keselamatan pasien serta meningkatkan kualitas hidup pasien. Adanya E-EWSrecord, kondisi pasien lebih terpantau, perubahan kondisi pasien lebih cepat diketahui oleh tim kesehatan, sehingga pasien segera mendapat pertolongan dengan cepat dan tepat. Kondisi tersebut juga menjadi bentuk caring perawat kepada pasien melalui teknologi dalam keperawatan. Saran: Rumah sakit dapat pengaplikasian E-EWSrecord sebagai salah satu strategi dalam peningkatan mutu pelayanan, menurunkan beban kerja perawat, pengurangan biaya terkait dokumentasi paper based, efesiensi waktu pelayanan, serta keselamatan pasien.   Kata Kunci: Electronic Early Warning Score Record; Persepsi Kegunaan; Persepsi Kemudahan Penggunaan; Ruang Perawatan Medikal; Teknologi Dalam Keperawatan.
Studi kasus asuhan keperawatan pada pasien pneumonia dengan diagnosa sekunder hypertensive hearth disease Sriwiyati, Lilik; Christina, Tri Yahya; Safaruddin, Safaruddin; Andika, I Putu Juni
JOURNAL OF Pharmacy and Tropical Issues Vol. 5 No. 2 (2025): December Edition 2025
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Ikatan Sarjana Farmasi Indonesia (ISFI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/pti.v5i2.3226

Abstract

Background: Pneumonia is the leading cause of death among children under five years of age. In addition to infants, the elderly and individuals with weakened immune systems are also highly susceptible to pneumonia. The incidence of pneumonia in Indonesia is on the rise. The prevalence of pneumonia in Java Province remains quite high, warranting serious attention. Nursing care for patients with pneumonia is essential, given that this disease is quite serious and significantly impairs the patient’s ability to meet the body’s oxygen needs. Purpose: To analyze nursing care for patients with pneumonia and a secondary diagnosis of hypertensive heart disease, covering the assessment, establishment of nursing diagnoses, interventions, implementation, and evaluation. Method: This study is a descriptive-analytical study using a case study approach. The purpose of the study is to describe the implementation of nursing care for a patient with pneumonia and a secondary diagnosis of hypertensive heart disease. The subject of the case study was one patient with pneumonia. Data analysis was performed using descriptive analysis.. Results: A patient with pneumonia and a secondary diagnosis of hypertensive heart disease presented with signs and symptoms of shortness of breath, chest heaviness, palpitations, and weakness; blood pressure readings indicated stage 1 hypertension. ECG revealed sinus rhythm with first-degree AV block, alternating episodes of TAVB with junctional escape rhythm and multiple PJCs; blood gas analysis indicated compensated metabolic acidosis; the P/F ratio indicated mild respiratory failure; chest X-ray showed pneumonia; and the chest X-ray revealed cardiomegaly accompanied by aortosclerosis. Based on these findings, the nursing diagnoses were established as impaired gas exchange and decreased cardiac output. The established SLKI (Specific Nursing Interventions) were acid-base balance and increased cardiac output. The established SIKI (General Nursing Interventions) were respiratory monitoring and cardiac care. Conclusion: Following treatment of a patient with pneumonia and a secondary diagnosis of hypertensive heart disease, who presented with gas exchange abnormalities and reduced cardiac output, the patient was able to achieve acid-base balance and an increased cardiac output.   Keywords: Hypertensive Heart Disease; Nursing Care; Pneumonia.   Pendahuluan: Pneumonia merupakan penyebab kematian terbesar pada anak di bawah usia lima tahun. Selain pada balita, lansia dan individu dengan sistem imun yang rendah juga sangat rentan menderita pneumonia. Kejadian pneumonia di Indonesia menunjukkan adanya peningkatan. Prevalensi pneumonia di Provinsi Jawa masih cukup tinggi sehingga memerlukan perhatian serius. Asuhan keperawatan pada pasien dengan pneumonia sangat diperlukan mengingat penyakit ini cukup serius dan sangat mengganggu kemampuan pasien dalam memenuhi kebutuhan oksigen tubuh. Tujuan: Untuk menganalisis asuhan keperawatan pada pasien pneumonia dengan diagnosa sekunder hypertensive hearth disease mulai dari pengkajian, penegakan diagnose keperawatan, intervensi, implementasi dan evaluasi. Metode: Penelitian ini adalah jenis penelitian deskriptif analitik dengan pendekatan studi kasus. Tujuan penelitian untuk mengetahui gambaran pelaksanaan asuhan keperawatan pada pasien pneumonia dengan diagnose sekunder hypertensive hearth disease. Subyek studi kasus adalah satu pasien dengan pneumonia. Analisa data menggunakan analisis deskriptif. Hasil: Pasien dengan pneumonia dengan diagnose sekunder hypertensive hearth disease didapatkan tanda dan gejala sesak nafas, dada terasa berat, jantung berdebar-debar, tubuh terasa lemah, tekanan darah menunjukkan hipertensi derajat 1, EKG didapatkan Irama sinus dengan AV block derajat 1, alternating episode TAVB dengan irama lolos junctional dengan multiple PJC, analisa gas darah menunjukkan asidosis metabolic terkompensasi, P/F rasio menunjukkan gagal napas ringan, rontgen thorax menunjukkan pneumonia, thorax menunjukkan cardiomegaly disertai aortosclerosis. Berdasarkan data tersebut ditegakkan masalah keperawatan gangguan pertukaran gas dan penurunan cardiac output. SLKI yang ditegakkan adalah keseimbangan asam basa dan curah jantung meningkat. SIKI yang ditegakkan adalah pemantauan respirasi dan perawatan jantung. Simpulan: Setelah dilakukan perawatan pada pasien pneumonia dengan diagnosa sekunder hypertensive hearth disease dengan masalah pertukaran gas dan penurunan cardiac output, pasien mampu mencapai keseimbangan asam basa dan mencapai cardiac output yang meningkat.   Kata Kunci: Asuhan Keperawatan; Hypertensive Hearth Disease; Pneumonia.
Co-Authors 'Annisa, Sheva Muthi Abda Abda Agustina Sandramustika, Agustina Ambarningrum, Lusiana Andika*, I Putu Juni Andika, I Putu Juni Aqsyari. D, Rizki Arsyta Putri, Rosalia Dian Budi Kristanto Catur Sukmono, Antonius Christina, Tri Yahya Cristina, Tri Yahya Dharma, Yovita Prabawati Tirta Diyono, Diyono Dwi Budi Santoso Dwi Kurniawan, Hendra Dwi Nursanti, Anastasia Lina Fatimah, Khoirunnisa Hartono, Muljadi Hendra Dwi Kurniawan, Hendra Dwi Juni Andika, I Putu Khairunisa, Fatimatuzzahra Kurniawan*, Hendra Dwi Mega Fatimah Rosana Meira Erawati Ningsih, Endang Dwi Nursanti, Anastasia Lina Dwi Nurwijayanti Oktiva, Yayuk Dwi Prabawati Tirta Dharma, Yovita Putri, Rosalia Dian Arsyta Safaruddin Sapta, Monika Wulan Setiani, Ditya Yankusuma Suhartini Suhartini Warsini Warsini Wianti, Sri Yahya Christina, Tri Yulianti, Tunjung Sri