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Andika, I Putu Juni
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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.
Analysis of Factors Influencing the BPJS Outpatient Registration System at Jati Husada General Hospital, Karanganyar mumtaz, yasmin; Aqsyari, Rizki; Sriwiyati, Lilik; Andika, I Putu Juni
Jurnal Ilmu-Ilmu Kesehatan Vol 12 No 1 (2026): JURNAL ILMU-ILMU KESEHATAN
Publisher : Sekolah Tinggi Ilmu Kesehatan Garuda Putih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52741/jiikes.v12i1.168

Abstract

Digital transformation in the healthcare sector has driven the adoption of online outpatient registration systems to improve service efficiency and reduce patient queues. However, at Jati Husada General Hospital in Karanganyar, offline registration remains dominant for BPJS patients. This situation suggests factors influencing the choice of registration system. This study aims to analyze factors such as age, education, income, patient satisfaction, and service quality in the BPJS outpatient registration system. The study used a quantitative descriptive-analytical design with a cross-sectional approach. The population was 2,021 BPJS outpatient visits in March 2025, with a sample of 105 respondents selected using simple random sampling. Data were collected through questionnaires and analyzed using the Chi-Square test with a 95% significance level (α=0.05). The results showed that age (p=1.000), education (p=0.339), income (p=0.414), and service quality (p=0.109) did not significantly influence the outpatient registration system. Conversely, patient satisfaction had a significant effect (p=0.007). It is concluded that patient satisfaction is a factor that influences the outpatient registration system, so improving patient experience and comfort needs to be a priority in developing the service system. Keywords : Patient Satisfaction, Service Quality, Education, Income, Outpatient Registration System
Co-Authors Abda Abda Aqsyari, Rizki Arsyta Putri, Rosalia Dian Christina, Tri Yahya Cristina, Tri Yahya Diyono, Diyono Eny Retna Ambarwati Fatimah, Khoirunnisa Istichomah Istichomah, Istichomah Khairunisa, Fatimatuzzahra Khoeriyah, Salis Miftahul Kora, Firmina Theresia Mega Fatimah Rosana Mumtaz, Yasmin Novianti, Ariella Nurwijayanti Oktiva, Yayuk Dwi Pesirahu, Hillary Verondisca Emilia Putri, Rosalia Dian Arsyta Safaruddin Sapta, Monika Wulan Setyo Retno Wulandari Sriwiyati, Lilik Tirta Dharma, Yovita Prabawati Yahya Christina, Tri Yulianti, Tunjung Sri