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ASUHAN KEPERAWATAN PADA Tn.H DENGAN CKD (Chronic Kidney Disease) YANG MENJALANI TERAPI HEMODIALISA DI RUANGAN PEJUANG RSUD BANGKINANG TAHUN 2025 Febriyanti, Iin; Indrawati
Jurnal Spektrum Kesehatan Indonesia Vol. 1 No. 3 (2025): Volume 1 Nomor 3, November 2025
Publisher : El-Emir Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63477/(juski).v1i3.405

Abstract

Chronic Kidney Disease (CKD) is a progressive and irreversible impairment of kidney function that seriously affects the patient’s quality of life and requires hemodialysis therapy as a substitute for kidney function. This study aims to describe the implementation of nursing care for patients with CKD undergoing hemodialysis therapy, with a case study on Mr. H at Bangkinang Regional General Hospital. The design used is a descriptive case study with a nursing process approach. The assessment results showed main complaints including shortness of breath, back pain, sleep disturbances, and decreased appetite. The established nursing diagnoses include ineffective breathing pattern, acute pain, sleep pattern disturbance. After three days of intervention, gradual improvement in the patient’s condition was observed. The conclusion of this study shows that structured and continuous nursing care plays an important role in improving the condition and quality of life of patients with CKD. It is recommended that nurses continue to enhance education, monitoring, and holistic support for patients and their families
ASUHAN KEPERAWATAN PADA TN. S DENGAN CHRONIC KIDNEY DISEASE DI RSUD BANGKINANG fadilla, zianfadilla; Indrawati; Putri Eka Sudiarti; Nia Aprilla
Jurnal Spektrum Kesehatan Indonesia Vol. 1 No. 3 (2025): Volume 1 Nomor 3, November 2025
Publisher : El-Emir Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63477/(juski).v1i3.408

Abstract

CKD is a global health problem that continues to worsen. Data shows that CKD is the leading cause of death in the world. based on data from the last 1 month obtained from RSUD Bangkinang, there were 27 patients with CKD who were treated in the warrior room. one of the patients in the warrior room with a case of CKD was found "the patient's complaint said that his appetite decreased, the patient said that there was shortness of breath and the body felt tired easily. This condition is an important concern considering its impact on the patient's quality of life and the need for intensive and continuous medical care. This study aims to provide nursing care for patients with CKD at Bangkinang Hospital in 2025. The design used was a case study of a 61-year-old patient with a medical diagnosis of CKD. Nursing care is carried out for 4 days, starting from assessment, diagnosis, planning, implementation, to evaluation. Nursing diagnoses include peripheral perfusion, nutritional deficits, and acute pain. Interventions were carried out based on the Indonesian Nursing Intervention Standards (SIKI), including observation, education, therapy, and collaboration. The results showed improvement in the patient's condition, in the form of reduced grimacing, pain was mild, restlessness was reduced, pain was reduced. In conclusion, the client was able to cooperate during the implementation of each nursing action provided.
ASUHAN KEPERAWATAN PADA NY.F DENGAN DIABETES MELLITUS TIPE 2 DI RUANG PEJUANG RSUD BANGKINANG ulfa, mariaulfa; Yenny Safitri; Nila Kusumawati; Indrawati
Jurnal Spektrum Kesehatan Indonesia Vol. 1 No. 3 (2025): Volume 1 Nomor 3, November 2025
Publisher : El-Emir Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63477/(juski).v1i3.409

Abstract

Diabetes mellitus (DM) is a chronic disease characterized by a significant increase in blood glucose levels. This condition is caused by a deficiency of the hormone insulin or impaired insulin function in glucose metabolism. Signs and symptoms of diabetes mellitus include polyuria, polydipsia, polyphagia. The aim of this research is to examine and implement nursing care for patients with type II diabetes mellitus in the fighting room at Bangkinang Regional Hospital in 2025. This research method uses a descriptive research design in the form of a case study. Subjective in the case report is Mrs. During the assessment, the client feels weak, has no appetite, stomach ache, has nausea and vomiting, has a headache, and urinates frequently. Researchers formulated the main problem with the nursing diagnosis of blood glucose instability related to hyperglycemia (D.0027). The intervention given is monitoring blood glucose levels. In implementing nursing actions for Mrs.F with type II diabetes mellitus, they were carried out according to the nursing plan that had been prepared. The result of a three-day nursing visit to the client was that the problem was resolved. Nursing evaluation for three days on this client as a guide for researchers: as a goal for conducting research on Diabetes Mellitus, campus: as a reference in providing nursing care to patients.
PENGGUNAAN KOEFISIEN ALFA DALAM PERHITUNGAN UPAH MINIMUM DAN AKIBATNYA TERHADAP DESENTRALISASI FISKAL SETELAH BERLAKUNYA UNDANG-UNDANG NOMOR 6 TAHUN 2023 TENTANG CIPTA KERJA Widyatama, Denta Putra; Indrawati; Ramli, Lanny; Ananta, Ahmad Rizal Roby; Zita, Alena
Jurnal Ketenagakerjaan Vol 20 No 2 (2025)
Publisher : Pusat Pengembangan Kebijakan Ketenagakerjaan Kementerian Ketenagakerjaan Republik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47198/jnaker.v20i2.573

Abstract

Wages are one of the important issues in Labor Law, particularly from the workers' perspective. The enactment of Law No. 11 of 2020 concerning Job Creation in Indonesia, which was later revoked by Law No. 6 of 2023, introduced substantial changes to the structure of Labor Law, specifically in the existence of Alpha Coefficient as a substitute for KHL. This Alpha Coefficient is replacing the KHL and representing functions as an economic index sector variables in Indonesia. This study aims to examine two main issues: first, the legal and conceptual implications of replacing KHL with the Alpha Coefficient in calculating minimum wages; and second, the effect of this change on the authority and role of the Regional Wage Council as part of Indonesia’s fiscal decentralization policy. The research employs a statutory and conceptual approach supported by a review of the development of the national wage system. The findings indicate that the existence of the Alpha Coefficient enhances legal certainty by establishing a definitive parameter in wage calculations, thereby improving workers’ welfare protection. Furthermore, the Regional Wage Council’s position is strengthened through the restoration of tripartite negotiations, ensuring a more balanced and decentralized fiscal and also wage-setting mechanism. The Alpha Coefficient significantly increase the workers wealth by, following the main rights on Indonesian Constitution.
Pendidikan Kesehatan dan Latihan Batuk Efektif Pada Penderita TB Paru dengan Bersihkan Jalan Nafas Tidak Efektif di Wilayah Puskesmas Mulyorejo Soep; Indrawati
Jurnal Pengabdian Meambo Vol. 5 No. 1 (2026): Jurnal Pengabdian Kepada Masyarakat MEAMBO
Publisher : PROMISE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56742/jpm.v5i1.242

Abstract

Tuberkulosis (TB) paru merupakan penyakit infeksi menular yang masih menjadi masalah kesehatan masyarakat dengan tingginya angka penularan dan komplikasi, terutama pada pasien yang mengalami ketidakefektifan bersihan jalan napas. Kurangnya pengetahuan pasien mengenai teknik batuk efektif dan pencegahan penularan menjadi salah satu faktor yang memperberat kondisi dan menurunkan kualitas hidup penderita. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan, keterampilan, dan perilaku pencegahan pada penderita TB paru melalui pendidikan kesehatan dan latihan batuk efektif di wilayah kerja Puskesmas Mulyorejo. Metode pelaksanaan mencakup tahap persiapan, pelaksanaan edukasi, demonstrasi teknik, evaluasi pengetahuan, serta monitoring kepatuhan minum obat dan pencegahan penularan. Hasil kegiatan menunjukkan adanya peningkatan skor pengetahuan dari rata-rata 70.86 pada pretest menjadi 81,70 pada posttest, serta meningkatnya kemampuan peserta dalam melakukan teknik batuk efektif dengan benar. Kesimpulannya, intervensi pendidikan kesehatan dan latihan batuk efektif terbukti efektif meningkatkan pemahaman dan keterampilan pasien dalam mengelola penyakit serta membantu memutus rantai penularan TB di lingkungan keluarga.
Operational Efficiency Study Of The Effeciency Of Ammonium Nitrate Loading And Unloading Operations At Pt Kutai Jaya Pundinusa Bontang: Ammonium Nitrate lia, Rakhel; Indrawati; Fabiola Bulimasena Luturmas; Yolastasya Br Sembiring; Sang Ayu Made R
BEduManagers Journal : Borneo Educational Management and Research Journal Vol. 6 No. 2 (2025): BEduManagers Journal : Borneo Educational Management and Research Journal
Publisher : Manajemen Pendidikan Program Doktor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/bedu.v6i2.6088

Abstract

This study evaluates the operational efficiency and safety of Ammonium Nitrate loading and unloading at PT Kutai Jaya Pundinusa, Bontang, East Kalimantan. Given the material's hazardous nature, the research focuses on operational factors, including time efficiency, equipment capacity, workforce performance, and adherence to workplace safety standards. Using field observations, interviews, and qualitative data analysis, the study seeks to identify effectiveness hindrances and provide actionable recommendations. Its contribution lies in enhancing maritime supply chain management for hazardous materials, improving logistical efficiency, and strengthening safety protocols at industrial ports.
Co-Authors Abdul Fatah Arif Hidayat ABDUL HAMID Ade Irawan Agus Lukowi Agus lukowi Agustina, Kesiya Ahmad Harun Yahya Alim Nur Khafidh Almazroei, Essa Eqal Amilia Hikma Al-Umari Amri Anang Walian Ananta, Ahmad Rizal Roby Andrew Nobiantoro Gunawan Anindi Putri Harjanti Anita Candra Dewi ANNISA NABILA Ardina, Mona Aris Singgih Budiarso Arsal, St Fatmah Asmat, Samad Astika, Ferni Ayu Wulandari Azizah, Nabilah Nur Bening Rahimi Titisari Bhustomi, Abd Yazid Bonse Aris Mandala Putra Simangunsong Brigitta Natasya Halim Cindy Meliyana Sari Cinta Sembiring Cucu Atikah Darmariani, Martiana Kusuma Dede Kurniawan Desta Wahyuni Devi Nuryanto DEWI ANGGRIANI HARAHAP Dian Cahyawati Didi Suryadi Didik Setyo Heriyanto Diyaz Rachmaningtyas Dwi Noviani Dwi Wahyuni Eka susanti Eka Susanti Elisa Nurnawati Endro Setyo Cahyono Endro Setyo Cahyono, Endro Setyo Eqlima Elfira Evana Gina Shantika Evi Yuliza, Evi Fabiola Bulimasena Luturmas fadilla, zianfadilla Faizzah, Umi Nur Febriyanti, Iin Ferani Eva Zulvia Ferronika, Paranita Fitra Nur Azizah Fitri Damayanti Fitri Maya Pupita Fitri Maya Puspita Fitria Widyawati Guntur Syahputra, Guntur Gusman Virgo Haerianti, Masyita Halfiziya, Heleni Harahap, Sholihuddin Hari Abdus Salam Hari Toha Hidayat Hasmalia Heldawati Heleni Halfiziya Hidayat, Ahid Humaidi Inosenisus Nadeak Inosensius Nadeak Irmeilyana Isnawan, Muhamad Galang Jamili Jawasi Jenni Pannaco Jufrizal junaedi, yunding Juniarti Rara'Matande Juniwati Juniwati Khoiriyah Kurnianti, Nur Aziza La Ode Santiaji Bande Lanny Ramli, Lanny Lestari, Putu Eka Pethiwi Lia, Rakhel Lina Choridah Lina Susilowati M. Zarkasyi Mahdi Martin Uribe Masagus Achmad Fahrel Maulita Megawati Meiza Putri Lestari Melawati, Ayu Mintawati, Hesri Mirza Denia Putri Muhaimin Hamzah MUHAJIR Muhammad Riska Muhsin MUSLIMIN MUTHMAINNAH Najarudin Nanang Suwandi Nasaruddin Nasirun Nasirun, M. nasirun, muhammad Nia Aprilla Nila Kusumawati Nina Kurniah, Nina Ning Eliyati Ninis Nugraheni Novi Rustiana Dewi Nur Ahmad, Nur Nur Fadilah NURAFNI, ALDA NUR Oki Dwipurwani Oky Sanjaya Panjaitan, Dertaida Pundawa Sari, Noti Putra Bahtera Jaya Bangun, Putra Bahtera Jaya Putri, Fia Alifah Putu Arimbawa, Putu Radian Salman Rahayu Tamy Agustin Rahmadani, Annisa Rahmadani, Mahdalena Rahmat Rakhel Lia Resi Aulia Revaldo Dewa Fransisko Rian, Muh. Ridha Hidayat Rina Febrina, Rina RISKA WULANDARI Risnah Rita Cempaka Rizki, Krisda Robinson Sitepu Rr. Herini Siti Aisyah Rudia, La Ode Adi Parman Rusdi Rusmayadi, Muh Ryan Feraldy Haroen Ryan Wahyudi Safrila, Annisa Samsuriadi Sang Ayu Made R Sarwati Sarwati, Sarwati Selvi Yani Setiawati , Eka Siang Br Tarigan Sinta Rosiani Siregar, Ahmad Farhan Sisca Octarina Siti Tohira Soep Soetarno Sri Ambardini Sri Astuti Sri Erlita Sri Erlita Sri Hardianti Stephen Martin Sudiarti, Putri Eka Supadi, Siti Suzlin Supardi, Sudarman Suprapti , Anni Suprapti, Anni Suriana Sutarto Sutarto Tasiah, Mawar Taufiqurrahman, Safikri Tia Amelia Tira tarianti Tri Deliya Agustin ulfa, mariaulfa Verry Ginoga Vincent Laiman Vincent Lau Virga Inesrawanti Virnanda Laraswati Wardaya, Laksamana Yudya Warit Aziz Watono Wawan Muliawan Weka Gusmiarty Abdullah, Weka Gusmiarty Wicaksono, Iwan Widyatama, Denta Putra Wisnu Akbar Prabowo Yasrib Putranto Saban Yeni Nuraeni Yenny Safitri Yolastasya Br Sembiring Zahratul Qalbi Zaida, Sismy Zein, Reza Maulana Zita, Alena