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Perawatan Tuberculosis paru berulang: Studi kasus: Nursing care for recurrent lung Tuberculosis: A case study Vega, Venus Amelia; Permaida; Silalahi, Malianti; Dasat, Mariam
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 11 No. 3 (2025): JiKep | Oktober 2025
Publisher : UPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v11i3.2622

Abstract

Adanya tren peningkatan tuberkulosis (TB) paru berulang menjadi masalah kesehatan yang memerlukan perhatian serius di Indonesia. Pada tahun 2023 tercatat 1.060.000 kasus. Penelitian ini bertujuan untuk melihat efektivitas asuhan keperawatan pada pasien tuberkulosis (TB) paru berulang melalui metode studi kasus proses keperawatan berdasarkan observasi, pemeriksaan fisik, wawancara, dan rekam medis. Asuhan dilakukan selama 5 hari pada Ny. D (35 tahun) dengan diagnosa tuberculosis (TB) paru berulang sejak 16 hingga 20 Desember 2024. Hasil pengkajian menunjukkan suara ronkhi, kesulitan mengeluarkan sputum, dan nyeri dada (skala 6/10). Pasien tinggal di lingkungan padat, tidak patuh minum obat antituberkulosis (OAT) sejak sebulan sebelum dirawat, serta memiliki riwayat kontak dengan penderita tuberkulosis (TB). Temuan masalah keperawatan nyeri akut, bersihan jalan napas tidak efektif, dan gangguan pola tidur. Intervensi dan implementasi keperawatan meliputi observasi berkala, kompres hangat, posisi prone, aromaterapi, imajinasi terbimbing, serta kolaborasi terapi farmakologis dan edukasi pencegahan pada hari ketiga. Evaluasi menunjukkan masalah teratasi pada hari kelima dengan nyeri menurun, sputum berkurang, dan pola tidur membaik. Perhatian pada pasien tuberkulosis (TB) paru antara lain kontrol rutin pengobatan dan pentingnya keterlibatan keluarga sebagai Pengawas Minum Obat (PMO) untuk meningkatkan kepatuhan dan mencegah kekambuhan
A TIME-CRITICAL DECISIONS: HEART SCORE'S IMPACT ON CARDIAC EMERGENCY OUTCOMES: INTEGRATED LITERATURE REVIEW Permaida, Permaida; Noviantari, Komang; Yuhana, Ina
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 3 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i3.2825

Abstract

Ketidakpastian dan keterlambatan penanganan kegawatdaruratan jantung menjadi penyebab tingginya angka kematian pasien di Indonesia  hingga saat ini sebesar 13 juta. Penelitian ini bertujuan untuk mengumpulkan bukti kredibilitas skor HEART untuk mendeteksi kegawatdaruratan jantung guna mencegah ketidakpastian dan keterlambatan penanganan. Tinjauan sistematis dilakukan dengan menelusuri basis data Taylor & Francis, Springer Link, dan Science Direct yang diterbitkan antara tahun 2019 dan 2024. Data dianalisis menggunakan analisis isi deduktif mengenai kredibilitas skor HEART dalam mendeteksi kegawatdaruratan jantung. Hasil analisis menunjukan hanya sepuluh artikel yang mengekstraksi data dari skor HEART, yang memberikan kepastian serta mendukung penanganan yang cepat. Alat yang digunakan untuk komponen skor HEART harus dikalibrasi. Para peneliti menemukan bahwa skor HEART akurat mendeteksi kegawatdaruratan jantung (80%), cukup efektif dalam mendeteksi kejadian darurat jantung (60%), dan dapat digunakan untuk mengevaluasi pasien selama dan setelah kegawatdaruratan (50%). Kesimpulannya, skor HEART merupakan alat deteksi kegawatdaruratan yang efisien. Keberhasilan skor HEART dalam mengatasi ketidakpastian dan keterlambatan kegawatdaruratan jantung membutuhkan hubungan interpersonal dengan kolaborasi.
Nursing Care for Dengue Fever Patient in the Critical Phase, at a Hospital in West Jakarta Nurhasanah; Ernawati; Permaida; Hermawan, Stepanus Maman
Jurnal Keperawatan Priority Vol. 8 No. 1 (2025)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v8i1.6296

Abstract

Dengue Haemorrhagic Fever is a disease caused by the dengue virus due to the bite of the Aedes aegypti mosquito. Patients will go through 3 phases of this disease: fever, critical, and recovery. A complication that often occurs in the critical phase is dengue shock syndrome. This case report aimed to provide an overview of nursing care for patients in the critical phase of dengue hemorrhagic fever at a private hospital in West Jakarta. Care was provided by Diploma III nursing students for 4 days using a nursing process approach that includes assessment, diagnosis, planning, implementation, and evaluation. Data was collected using interview techniques, observation, and physical and diagnostic examinations. The assessment showed that the patient was in a grade II critical phase, characterized by the appearance of petechiae on both superior extremities without a tourniquet test. The nursing problems raised were the risk of hypovolemia, the risk of bleeding, acute pain, and nausea. The interventions provided focus on preventing bleeding and fluid management. The implementation includes providing appropriate fluid resuscitation, monitoring blood hematology laboratories, and encouraging patients to rest in bed to reduce the risk of other bleeding. On the fourth day of treatment, three nursing problems were solved: the risk of bleeding, acute pain and nausea. The nursing problem that was partially resolved is the risk of hypovolemia. In conclusion, in dengue hemorrhagic patients in the critical phase, nurses need to pay primary attention to the possibility of hypovolemia even though it is not necessarily an actual problem.
Interaction Model for Child to Cope Stress Using Virtual Reality and Watching Video during Venipuncture in the Emergency Department: A Literature Review Permaida, Permaida; Freyana Tedja, Jane
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.618

Abstract

Venipuncture is the most painful and traumatic procedure often performed by nurses on pediatric patients. Innovation using technology-based interaction models is urgently needed in the emergency department. This study aims to determine the effectiveness of interaction models in reducing stress associated with venipuncture by utilizing virtual reality and video watching in the emergency department. This study employs a literature review, drawing on fourteen reputable articles from the ResearchGate, ScienceDirect, and SpringerLink databases. The results of the study based on the interaction model include (1) nurses must have a role in understanding children's stress, experience in managing children's stress, speed of completion of venipuncture procedures, and critical thinking in assessing the level of difficulty of venous access; (2) child attachment the with the importance of parental presence to suppress children's temperament; and (3) environmental aspects that support innovation in the use of virtual reality and watching videos as imaginative distraction techniques. The interaction model suggests that the roles of nurses, parental involvement, and environmental aspects can help manage the stress of children in pain in the emergency department.
DETEKSI MASALAH PERKEMBANGAN ANAK USIA 0 BULAN SAMPAI DENGAN 72 BULAN DI PEMUKIMAN PADAT PENDUDUK Permaida Permaida; Dian Anggarini; Marian Dasat; Stephanus Maman Hermawan; Mey Lona Verawaty Zendrato
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 2 (2025): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i2.29575

Abstract

Abstrak: Masalah perkembangan anak sering kali diabaikan orang tua terutama yang tinggal di pemukiman padat penduduk. Ketidaktercapaian perkembangan anak di setiap tahapan usianya akan menjadi masalah sangat serius terutama dalam mengapai kemandirian, sosial, motorik, pemahaman bahasa, dan sensorik yang berdampak pada masa depannya. Permasalahan perkembangan pada anak dapat dideteksi sejak usia 0 sampai dengan 72 bulan. Kegiatan PKM ini bertujuan mengidentifikasi masalah penyimpangan perkembangan sejak dini yang berusia 0 sampai dengan 72 bulan menggunakan kuesioner pra skrining perkembangan (KPSP) yang tinggal dipemukiman padat penduduk. Metode PKM ini adalah praktik pemeriksaan perkembangan anak menggunakan kuesioner pra skrining perkembangan (KPSP) kepada 35 anak yang diselenggarakan di wilayah kerja mitra kami Yayasan Rahmat Empati di Pondok Empati, Jakarta Barat. Hasil pemeriksaan perkembangan anak menunjukkan kategori sesuai usia sebesar 72 %, kategori perkembangan meragukan sebesar 22%, dan kategori penyimpangan perkembangan sebesar 6% pada anak yang tinggal dipemukiman padat penduduk. Kegiatan ini diharapkan mendorong semua pihak terkait untuk rutin melaksanakan kegiatan pemeriksaan perkembangan pada anak setiap 1 bulan, sehingga penanganan awal dapat diberikan kepada anak yang membutuhkan dalam mendukung program pemerintah Indonesia untuk menekan masalah perkembangan yang menghambat masa depan anak.Abstract: Parents often ignore Child development issues, especially those living in densely populated settlements. Failure to achieve child development at every stage of their age will be a serious problem, especially in achieving independence, social, motoric, language understanding, and sensory skills, which will impact their future. Developmental issues in children can be detected from 0 to 72 months. This PKM activity aims to identify developmental deviation problems early on in children aged 0 to 72 months using a pre-developmental screening questionnaire (KPSP) living in densely populated settlements. This PKM method examines child development using a pre-developmental screening questionnaire (KPSP) to 35 children held in the work area of our partner Yayasan Rahmat Empati in Pondok Empati, West Jakarta. The results of the child development examination showed an age-appropriate category of 72%, a doubtful development category of 22%, and a developmental deviation category of 6% in children living in densely populated settlements. This activity is expected to encourage all related parties to routinely carry out developmental checks on children every 1 month so that early treatment can be given to children in need in supporting the Indonesian government's program to reduce developmental problems that hinder children's future.
BRIDGING THE NURSING CARE GAP: BUILDING QUALITY NURSING SERVICES FOR GAYS WITH HIV/AIDS THROUGH STANDARDIZATION, ENHANCEMENT OF NURSES' COMPETENCE, AND PATIENT PARTICIPATION Malianti Silalahi; Santa Maria Pangaribuan; Permaida Permaida; Stepanus Maman Hermawan
Nursing Current: Jurnal Keperawatan Vol. 12 No. 2 (2024): December
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v12i2.9050

Abstract

Nursing care is a crucial aspect in addressing health issues, including Human Immunodeficiency Virus (HIV)/ Acquired Immunodeficiency Syndrome (AIDS), especially within the gay population. A lack of knowledge regarding nursing care for this population can hinder the reduction of HIV/AIDS cases. There is a need for HIV/AIDS nursing care standards that are not only comprehensive but also sensitive to the specific perceptions and needs of gay patients. Negative perceptions of nursing care can affect the quality of care and patient involvement in managing their health. Therefore, this study aims to explore these perceptions. This study employed a qualitative descriptive design to gain a deep understanding of the perceptions of gay patients with HIV/AIDS towards nursing care. Data was collected through in-depth interviews with 14 participants selected purposively. The interviews were designed to explore the participants' views, experiences, and expectations regarding the nursing services they received. The collected data was analyzed using thematic analysis, allowing the researchers to identify and categorize the main themes from the gathered information. Two main themes were identified during this study: The desired professional nursing services for gay individuals with HIV/AIDS and the limitations of nurses in involving gay clients with HIV/AIDS in the nursing care planning process. Consistent and standardized nursing care services, as well as enhancing nurses' skills and abilities through mentoring and training, are the expectations of gay individuals with HIV/AIDS towards professional nursing care. A heavy workload is a limitation faced by nurses in providing optimal nursing care to gay individuals with HIV/AIDS.
Strengthening the Role of Nurses in Managing Respiratory Problems in Infants with Bronchiolitis: A Literature Review Siagian , Kezia Octavina; Juliani, Angelica; Permaida, Permaida; Zendrato, Meylona Verawati
Genius Journal Vol. 7 No. 1 (2026): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v7i1.951

Abstract

Introduction: Bronchiolitis is a major cause of hospitalization in infants and remains a leading respiratory challenge in paediatric care worldwide. Triggered mainly by the Respiratory Syncytial Virus (RSV), this condition causes airway inflammation, mucus obstruction, and respiratory distress that can rapidly progress to oxygenation failure. While most cases are self-limiting, inadequate nursing interventions often lead to prolonged illness and complications. Therefore, implementing evidence-based nursing strategies, including observation, education, therapeutic, and collaborative approaches, is essential to ensure comprehensive respiratory management and faster recovery in affected infants. Objective: This study aims to analyse the implementation of nursing care strategies through observation, education, therapeutic, and collaborative approaches to optimize respiratory management and recovery in infants with bronchiolitis. Method: This study used a literature review design by analysing six relevant articles published between 2021 and 2025 obtained from Google Scholar. The literature selection followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, focusing on the implementation of nursing strategies in managing respiratory problems in bronchiolitis. Result: The review found that observation was the most frequently applied nursing intervention, serving as the foundation for assessing physiological responses. Therapeutic and collaborative actions, such as chest physiotherapy, semi-fowler, positioning, nebulization, and oxygen therapy, were effective in improving oxygen saturation and reducing respiratory effort. Educational interventions, although less common, significantly strengthened family involvement and awareness of home care practices. The integration of these four strategies enhanced recovery, improved comfort, and demonstrated measurable clinical benefits for infants with bronchiolitis. Conclusion: The balanced and evidence-based application of observation, education, therapeutic, and collaborative strategies strengthens nursing care quality, accelerates respiratory recovery, and reinforces the nurse’s essential role in holistic management of bronchiolitis
DETEKSI MASALAH PERTUMBUHAN PENDEK DAN GIZI BURUK ANAK USIA 0 BULAN SAMPAI DENGAN 72 BULAN DI PEMUKIMAN PADAT PENDUDUK Permaida, Permaida; Dasat, Marian; Anggarini, Dian; Hermawan, Stephanus Maman; Zendrato, Mey Lona Verawaty
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 6 (2024): Desember
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i6.27011

Abstract

Abstrak: Masalah pertumbuhan anak sangat berdampak dan bersifat permanen pada masa depannya. Kegiatan PKM ini bertujuan mengidentifikasi masalah pertumbuhan pendek dan gizi buruk pada anak berusia 0 sampai dengan 72 bulan dipemukiman padat penduduk. Metode PKM ini adalah melakukan pemeriksaan antropometri dengan mengukur berat badan, panjang badan atau tinggi badan dan lingkar lengan yang disesuaikan dengan usia anak untuk mendeteksi masalah pertumbuhan pendek dan gizi buruk kepada 35 orang yang diselenggarakan di wilayah kerja mitra kami Yayasan Rahmat Empati di Pondok Empati, Jakarta Barat. Hasil pemeriksaan antropometri ditemukan berat badan berdasarkan usia (BB/U) sebesar 9% kategori berat badan sangat kurang dan sebesar 34 % kategori berat badan kurang; panjang badan atau tinggi badan berdasarkan usia (PB/U atau TB/U) sebesar 9% kategori sangat pendek dan sebesar 37% kategori pendek; berat badan berdasarkan panjang badan atau tinggi badan (BB/PB atau BB/TB) anak ditemukan gizi kurang sebesar 20%; dan pengukuran lingkar lengan ditemukan sebesar 6% kategori gizi buruk dan sebesar 14% kategori gizi kurang pada anak yang tinggal dipemukiman padat penduduk. Kegiatan ini diharapkan mendorong semua pihak terkait untuk rutin melaksanakan kegiatan pemeriksaan antropometri setiap 1 bulan, sehingga penanganan awal dapat diberikan kepada anak yang membutuhkan dalam mendukung program pemerintah Indonesia untuk menekan masalah gizi pada anak yang masih menjadi permasalahan.Abstract: Child growth problems have a significant and permanent impact on their future. This PKM activity aims to identify the issues of stunted and severely wasted in children aged 0 to 72 months in densely populated settlements. The PKM method is to conduct anthropometric examinations by measuring weight, length or height and arm circumference adjusted to the child's age to detect problems of short growth and malnutrition in 35 people held in the work area of our partner Yayasan Rahmat Empati in Pondok Empati, West Jakarta. The results of the anthropometric examination found that weight based on age (BB/U) was 9% in the severely underweight category and 34% in the underweight category; length or height based on age (PB/U or TB/U) was 9% in the severely stunted category and 37% in the stunted category; weight based on length or height (BB/PB or BB/TB) children were found to be wasted by 20%; and arm circumference measurements found 6% in the severely wasted category and 14% in the wasted category in children living in densely populated settlements. This activity is expected to encourage all related parties to routinely carry out anthropometric examination activities every 1 month so that initial treatment can be given to children in need in supporting the Indonesian government's program to reduce nutritional problems in children, which are still a problem.
MENANGKAL HIPERTENSI PADA LANSIA: HASIL PENGABDIAN MASYARAKAT MELALUI SKRINING, EDUKASI, DAN KONSULTASI KESEHATAN Noviantari, Komang; Silalahi, Malianti; Zendrato, Mey Lona Verawaty; Permaida, Permaida; Hermawan, Stepanus Maman; Ernawati, Ernawati; Anggraini, Dian; Marpaung, Yosi Marin; Dasat, Mariam
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 4 (2024): Agustus
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i4.24851

Abstract

Abstrak: Hipertensi, atau tekanan darah tinggi, masih menjadi masalah kesehatan utama dan penyebab kematian terbanyak di dunia, terutama pada lansia. Skrining hipertensi sangat penting untuk meningkatkan kesadaran dan deteksi dini penyakit ini. Pengabdian kepada masyarakat ini bertujuan untuk meningkatkan kesadaran lansia tentang pentingnya hipertensi dan cara mengatasinya. Kegiatan ini dilakukan dalam bentuk skrining, edukasi, dan pemeriksaan kesehatan terkait bahaya hipertensi dengan jumlah peserta adalah 105 lansia. Kegiatan ini dilakukan melalui tiga tahap: perencanaan, pelaksanaan, dan evaluasi. Pada tahap pelaksanaan, dilakukan penyuluhan tentang bahaya hipertensi, skrining tekanan darah, gula darah sewaktu, dan kolesterol total, serta konsultasi kesehatan dengan dokter. Hasil skrining menunjukkan bahwa 37% lansia mengalami pre-hipertensi, 97,5% memiliki gula darah sewaktu normal, dan 40% memiliki hasil kolesterol total tinggi. Evaluasi menunjukkan bahwa lansia yang mengikuti kegiatan ini mendapatkan edukasi terkait bahaya hipertensi, melakukan skrining kesehatan, serta konsultasi kesehatan dari dokter untuk mengatasi hipertensi, Antusiasme lansia terhadap kegiatan ini sangat tinggi.Abstract: Hypertension, or high blood pressure, remains a prevalent health concern and a leading cause of mortality worldwide, particularly among the elderly population. Hypertension screening is crucial for promoting awareness and early detection of this condition. This community service project aimed to raise awareness among elderly individuals about the significance of hypertension and its management strategies. The project involved screening, education, and health examinations related to hypertension risks, targeting 105 elderly participants.The project was implemented in three phases: planning, implementation, and evaluation. During the implementation phase, educational sessions on hypertension risks were conducted, followed by screenings for blood pressure, random blood glucose, and total cholesterol. Additionally, participants received medical consultations with a physician.The screening results revealed that 37% of the elderly participants had pre-hypertension, 97.5% had normal random blood glucose levels, and 40% had high total cholesterol levels. The evaluation indicated that participants gained knowledge about hypertension risks, underwent health screenings, and received medical consultations from a physician to manage their hypertension. The elderly participants demonstrated high enthusiasm for the project.This community service project effectively enhanced awareness and knowledge among elderly individuals regarding hypertension. The project's success highlights the importance of targeted interventions to promote hypertension management and improve the overall health of older adults.
The Impact of Nursing Service Quality on Length of Hospital Stay in Children with Pneumonia: A Literature Review Waruwu, Gloria Angelika; Meicilia, Angela; Permaida, Permaida; Dasat, Mariam
INDOGENIUS Vol 5 No 1 (2026): 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.v5i1.940

Abstract

Background & Objective: Pneumonia is one of the serious diseases that occurs in the lower respiratory tract. This disease is one of the causes of death among children, especially those under five years of age. This condition is of great concern to health workers, especially nurses, because proper treatment can help reduce mortality rates. Therefore, quality and comprehensive nursing care is needed so that the healing process runs optimally. This study aims to determine how the quality of nursing care can affect the length of hospital stay in children with pneumonia. Method: This study used a literature review approach by searching Google Scholar for publications from 2020 to 2025. The keywords used were “children with pneumonia,” “nursing care,” “length of stay,” and synonyms such as “pneumonia in children,” “quality of nursing care for children,” and “duration of hospitalization.” Result: Six articles that met the inclusion criteria were found. The analysis showed that 83.3% (n=5) of these articles proved that the quality of nursing care had an effect on reducing the length of hospital stay, while 16.7% (n=1) of the articles highlighted the importance of a non-pharmacological approach to reducing children's anxiety during treatment. Nurses play a central role in every stage of nursing care, from observation, education, and therapy to interprofessional collaboration. Conclusion: These findings confirm that comprehensive nursing care focused on children's needs can accelerate the healing process and reduce the length of hospital stays. Therefore, the quality of nursing care needs to be continuously improved in order to have a positive impact on the quality of life and safety of pediatric patients in healthcare facilities.