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Journal : Journal Keperawatan

ASUHAN KEPERAWATAN IBU NIFAS DENGAN POST SECTIO CAESAREA : STUDI KASUS Yeni Rimadeni; T. Iskandar Faisal; Halimatussakdiah Halimatussakdiah; Afdhal Afdhal; Nur Hartika
Journal Keperawatan Vol. 1 No. 2 (2022): August 2022
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (379.501 KB) | DOI: 10.58774/jourkep.v1i2.10

Abstract

Sectio Caesarea (SC) is a hysterotomy to deliver the fetus from inside the uterus. The impact that occurs in postpartum mothers with post sectio caesarea is acute pain and the risk of infection and skin integrity disorders that occur due to surgical wounds on the abdomen. To overcome the impacts that arise, it is necessary to have the role of nurses in providing comprehensive nursing care for postpartum mothers with post sectio caesarea, so as to prevent problems in postpartum mothers post sectio caesarea. Early mobilization is a policy to guide the patient to be able to move and walk from bed. The purpose of this study was to provide an overview of nursing care for postpartum mothers after sectio caesarea. This research method is descriptive in the form of a case study with a nursing process approach including assessment, nursing diagnosis, intervention, implementation and evaluation. The sample is Mrs. A 27 years old in the Obstetrics Room at Dr Zainoel Abidin Hospital, Banda Aceh. The results of the study found Mrs. A after nursing care for three days the barriers to physical mobility and the risk of infection were resolved and partially resolved. Conclusion: acute pain, physical mobility barriers and risk of infection.
Application of Slow Deep Breathing Exercise in Reducing Pain Intensity in Pre-Operative Patients with Lateral Inguinal Hernia Sinistra: Case Study Suwardi, Suwardi; Nirwan, Nirwan; Rimadeni, Yeni; Oetama, Saiful; Halimatussakdiah, Halimatussakdiah
Journal Keperawatan Vol. 3 No. 2 (2024): November 2024
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58774/jourkep.v3i2.93

Abstract

Background: Inguinal hernia occurs when there is a protrusion of the contents of a cavity through a weak part of the inguinal gap in the abdominal wall. The occurrence of inguinal hernia is caused by repeated and continuous increase in intra-abdominal pressure. The increase in inguinal hernia cases has now reached 20 million cases, most of which are suffered by late adults to the elderly with the main problem being acute pain and its management through herniotomy. Slow Deep Breathing Exercise is one of the non-pharmacological therapies that is often used to overcome acute pain felt by pre-operative patients. Purpose:  To provide an overview of the application of slow deep breathing in the management of acute pain in preoperative patients with left lateral inguinal hernia treated at the Zainoel Abidin Regional General Hospital, Banda Aceh. Methods: Descriptive research with case studies through the nursing process approach from assessment, nursing diagnosis, planning, implementation, and evaluation. The subject of the study was 1 Pre-Operative Hernia Inguinalis Lateralis Sinistra patient who was treated in the internal medicine room who was given Slow Deep Breathing Exercise intervention. The research instruments used to collect data were medical surgical nursing care sheets and pain measuring instruments using the Numeric Rating Scale. Results: After implementing Slow Deep Breathing Exercise twice a day (duration 15 minutes during the intervention) for 3 days combined with oxygen therapy via nasal cannula (3 liters/minute), the patient's main problem, namely acute pain, decreased from a scale of 8 to 6 with all patient activities still being assisted. Conclusion: Based on the research results, it can be concluded that the patient's problem, namely acute pain, was partially resolved through the Slow Deep Breathing Exercise intervention because the pain still often occurs with an uncertain duration and interferes with the patient's basic needs.
Implementation of Foot Reflexology Impacts Pain Intensity, Sleep Quality and Breast Milk Production in Post-Caesarean Section Patients M.Basyah, Halimatussakdiah; Wagiyo, Wagiyo; Galih Zulva Nugroho, Erlangga; Suwardi, Suwardi; Azhari, Della Putri
Journal Keperawatan Vol. 4 No. 1 (2025): May 2025
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58774/jourkep.v4i1.115

Abstract

Background: Sectio caesarea is a major surgical procedure that generally causes postoperative pain, so it can interfere with the physical and psychological recovery process of the mother, including in terms of initiation and smooth production of breast milk (ASI). In addition, the effects of the pain caused can cause sleep disorders in patients. Non-pharmacological therapy is needed to overcome these problems. Purpose: To determine the impact of applying foot reflexology on pain intensity, sleep quality and breast milk production in post-cesarean section patients. Methods: This type of research is descriptive through a case study approach involving 3 respondents who are post-cesarean section patients. The research instrument uses the PSQI (Pitsburgh Sleep Quality Index) questionnaire to assess sleep quality and VRS (Verbal Rating Scale) to assess pain levels. The intervention of foot reflexology application was carried out for 3 days. Results: After being applied to respondents, the results showed that there was a decrease in the pain scale from an average scale of 2.66 to 1.33, there was an increase in sleep quality as indicated by a score of 12 (bad) to a score of 9 (good), and there was an increase in breast milk production from patients who were unable to produce breast milk to those who were able to produce breast milk with an average production of 47 ml. Conclusion: The application of foot reflexology can reduce pain intensity, improve sleep quality and breast milk production in post-caesarean section patients.
Relationship Between Parenting Patterns and the Incidence of Stunting in Toddlers Khaira, Nuswatul; Faisal, T. Iskandar; Kurniawan, Rahmat; Helmi, Alfian; Asmawati, Asmawati; Halimatussakdiah, Halimatussakdiah; Muchtar, Afdhal; Jamni, Teuku
Journal Keperawatan Vol. 4 No. 2 (2025): November 2025
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58774/jourkep.v4i2.134

Abstract

Background: Stunting remains a public health problem in Indonesia, including in Palu City, Central Sulawesi, with prevalence increasing from 23.9% to 24.7% in 2022, remaining below the national target for stunting reduction. Several studies have shown that 22.9% of parents practice poor parenting practices, a factor contributing to the high incidence of stunting in toddlers. Purpose: To determine the relationship between parenting patterns and the incidence of stunting in toddlers in the work area of ​​Tawaeli Health Center, Palu City. Methods: This type of research is quantitative with a cross-sectional design. The study population was all toddlers aged 24–59 months in the Tawaeli Community Health Center working area. A sample of 70 respondents was selected using a purposive sampling technique, with the inclusion criteria being toddlers who had complete data regarding height and weight and mothers who were willing to be respondents. Data on family parenting patterns were collected using a structured questionnaire, while stunting status was determined based on anthropometric data. Data analysis was performed using the Chi-Square test. Results: There was a significant relationship between family parenting patterns and the incidence of stunting in toddlers with a p value of 0.02 (p <0.05). Toddlers raised with poor parenting patterns had a higher risk of stunting than toddlers raised with good parenting patterns. Conclusion: Family parenting patterns are significantly associated with stunting in toddlers aged 24–59 months. Strengthening the family's role through education on appropriate parenting patterns needs to be a focus of pediatric and community nursing interventions in stunting prevention efforts.