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Journal : Jurnal Keperawatan Malang (JKM)

Studi Kasus: Penerapan Teori Self-Care Orem Pada Pasien Post Operasi Katup Mitral Dwitanta, Sucipto; Nurachmah, Elly; Adam, Muhamad
Jurnal Keperawatan Malang Vol 8 No 2 (2023): Jurnal Keperawatan Malang (JKM)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36916/jkm.v8i2.196

Abstract

Background: After surgery, patients are often immobile due to possible postoperative complications and activity restrictions, so that the patient's physical capacity is at risk of decreasing. To maintain conditions that remain optimal even within limitations,patients are required to continue to be able to independently perform self-care. So that this can be realized with the nursing theory developed by Dorothea E. Orem about self-care Purpose: The aim of this study was to find out the application of Orem's self-care theory to patients after mitral valve surgery. Method: The design in this study uses the case study method. This study focuses on nursing care which emphasizes the use of Orem's self-care theory in practice. The subject in this study was one postoperative mitral valve patient who was treated in the postoperative unit with an implementation time of seven days. Results: In the results of applying Orem's self-care theory, five main nursing diagnoses were found. Most of the nursing problems are rooted in problems with decreased cardiac output due to post-surgical complications, but the complications are gradually improving. The application of Orem's self-care theory provides a systematic pattern of thinking in determining diagnoses and nursing interventions that must be carried out by nurses. Conclusion: The application of Orem's self-care model appears to have an effect on the nursing process, specifically in postoperative mitral valve cases in identifying problems in fulfilling self-care. The application of this model can provide benefits in encouraging patients to carry out activities that are in accordance with the patient's abilities and tolerance.
INTERVENSI AROMA TERAPI DALAM PENINGKATAN KUALITAS TIDUR PASIEN DENGAN MASALAH KARDIOVASKULAR Dwitanta, Sucipto
Jurnal Keperawatan Malang Vol 9 No 2 (2024): Jurnal Keperawatan Malang (JKM)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36916/jkm.v9i2.271

Abstract

Background: Poor sleep quality will lead to stressful conditions which can cause the release of epinephrine and norepinephrine thereby increasing the need for oxygen for the myocardium. Aromatherapy is recommended as a method without side effects, non-invasive, cheap and painless to reduce anxiety and improve sleep quality of cardiovascular patients. Purpose: The aim of this study is to analyze the potential of aromatherapy interventions in patients with cardiovascular disorders. Methods: The research method in this article uses a literature study approach. The articles will be selected based on the following criteria. The search sources in this article use scientific-based databases (ScienceDirect, PubMed, EBSCOhost, and Wiley Library Online). The search starts from December 2022 using the keywords Cardiac Patients – Aromatherapy – Sleep quality. Result: Inhalation aromatherapy with peppermint or lavender essential oil can improve the sleep quality of cardiovascular patients. Inhaling aromatic oil stimulates the sense of smell affecting the central nervous system. Lavender oil can reduce fatigue, anxiety, heart rate, respiratory rate, and blood pressure, improve lung and brain oxygenation, and improve sleep quality. The use of essential oils can be a safe and cost-effective therapy for sleep disorders and can reduce the overuse of prescription medications. Implication: Lavender and peppermint essential oils have a therapeutic effect that relaxes the body. These effects can make the body feel relaxed and release hormones that can help patients sleep. However, this intervention still needs further research specifically from the aspect of dose and medium of aromatherapy.