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Implementasi Keperawatan Manajemen Nyeri Pada Pasien Gastritis Dengan Nyeri Akut Di IGD Syokumawena, Syokumawena; Sulistini, Rumentalia; Sari, Shely Permata; Jaya, Herawati
JKM : Jurnal Keperawatan Merdeka Vol 4 No 1 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i1.2173

Abstract

Background: Gastritis is an inflammation of the stomach wall caused by irritation of the gastric mucosa. Gastritis caused by bacterial infections such as Helicobacteri pylory and irritant foods and drinks. The problem posed isacute pain. Nursing interventions to address this problem are pain management. Objective: This case study aims to describe the implementation of nursing pain management in patients gastritis with acute pain. Method: This case study design is a descriptive design in the form of a case study with a nursing care process approach. The case study subjects were 4 patients in the emergency room with the criteria of experiencing gastritis with problems acute pain. This case study was conducted at Muhammadiyah Palembang Hospital on March 16-23, 2023. The nursing implementation provided was in the form of warm compress and deep breath relaxation to reduce pain in gastritis patients, in patient 1 before the implementation of the pain scale was 5 and fell to 3, the second patient initially had a pain scale of 4 decreased to 2, in patient 3 the initial scale of 5 was reduced to a scale of 2, and finally patient 4 before the technique was carried out the pain scale in patients is 5 after being carried out down to a scale of 3. Using data collection techniques by means of observation, and interviews. Results: The research results describe the need for implementation pain management (warm compress and deep breath relaxation) to reduce pain in patients gastritis from a moderate pain scale to a mild pain scale. Conclusion: There is an influence in implementing pain management on acute pain in gastritis patients.
Terapi Musik Dan Imajinasi Terbimbing Pada Primigravida Pre Sectio Caesarea Dengan Ansietas Ningsih, Ratna; Jaya, Herawati; Rosyada, Tahirrou
JKM : Jurnal Keperawatan Merdeka Vol 4 No 1 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i1.2175

Abstract

Background: In particular, women can experience psychological disorders during the perinatal stage, around 20%, one of which is anxiety. Anxiety is a normal reaction to threats that can become a psychological health problem if the anxiety continues. According to research conducted by Purwaningrum (2018) it shows that giving music therapy for 20 minutes is more effective in reducing anxiety in preoperative SC patients because it can make the mother relax and can divert the anxiety that will be faced during the surgery she will face. The purpose of giving this therapy is to find out if there is a decrease or increase in anxiety in the client. Methods: The design of this study used a descriptive method with 4 clients, namely primigravida pre sectio caesarea with anxiety nursing problems. The research data was taken using interviews and observation. The results of data collection are presented in the form of tables and narratives. Results: The implementation of music therapy nursing and guided imagery in the four primifravida pre-sectio caesarea mothers decreased anxiety levels. Conclusion: Actions that can be taken on primigravida pre sectio caesarea clients with anxiety problems can be in the form of music therapy and guided imagery and are effective to do.
Implementasi Keperawatan Teknik Relaksasi Otot Progresif Pada Pasien Post Sectio Caesarea Dengan Nyeri Akut Jaya, Herawati; Ningsih, Ratna; Syokumawena, Syokumawena
JKM : Jurnal Keperawatan Merdeka Vol 4 No 1 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i1.2186

Abstract

Background: Labour caesarean section is a method of surgical delivery by making incisions in the abdominal wall and uterine wall. Post caesarean section injury to the operating area occurs which can cause tissue damage and pain. Progressive muscle relaxation technique is a relaxation therapy by tightening and relaxing the muscles at a time to give a feeling of relaxation. The purpose of this study was to reduce pain in postoperative patients caesarean section. Methods: The research design uses a descriptive method in the form of a case study. The subjects studied were 2 patients with the same cases and nursing problems, namely post-patients caesarean section with acute pain at Muhammadiyah Palembang Hospital. This research was conducted on 17-19 March 2023 and 20-22 March 2023 Results: Progressive muscle relaxation techniques have been shown to reduce acute pain in postoperative patients caesarean section. Before performing the progressive muscle relaxation technique both patients experienced moderate pain, after the progressive muscle relaxation technique was implemented the pain scale experienced by both patients became mild pain/ Conclusion: Implementation of progressive muscle relaxation techniques in postoperative patients caesarean section with acute pain can effectively reduce acute pain that is felt and can be applied to both patients.
Pendidikan Kesehatan dalam Meningkatkan Pengetahuan, Sikap, dan Keterampilan Ibu Melakukan Pijat Bayi Kumalasari, Intan; Amin, Maliha; Maksuk, Maksuk; Hendawati, Hendawati; Jaya, Herawati; Suryani, Ade
HIGEIA (Journal of Public Health Research and Development) Vol 7 No 1 (2023): January 2023
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v7i1.58356

Abstract

Pijatan bayi merupakan sarana untuk mengungkapkan kasih sayang dan mengoptimalkan tumbuh kembang bayi. Meskipun banyak literatur yang menyebutkan manfaat pijat bayi, namun tidak semua orang tua memiliki pengetahuan, sikap dan keterampilan yang memadai tentang pijat bayi. Penelitian ini bertujuan mengetahui efektifitas pendidikan kesehatan dalam meningkatkan pengetahuan, sikap dan keterampilan ibu tentang pijat bayi di Poskesdes Talang Persatuan pada bulan Januari 2018. Jenis penelitian ini adalah Quasi Experimental dengan design One Group with Pretest-Posttest. Sampel penelitian bayi berusia 0-6 bulan berjumlah 30 responden yang dipilih dengan teknik total sampling. Data dikumpulkan dalam dua tahap, sebelum dan setelah intervensi pendidikan kesehatan dengan menggunakan tiga instrumen yaitu pengetahuan, sikap dan keterampilan ibu tentang pijat bayi. Data dianalisis dengan menggunakan Uji Paired Sample T-test. Hasil analisis menunjukkan bahwa terdapat peningkatan pengetahuan, sikap dan keterampilan ibu dalam pijat bayi setelah diberikan intervensi pendidikan kesehatan pada nilai posttest dengan rata-rata tingkat keberhasilan sebesar 31,71% sehingga disimpulkan bahwa intervensi pendidikan kesehatan efektif meningkatkan pengetahuan, sikap dan keterampilan ibu dalam pijat bayi di Poskesdes Talang Persatuan.
Pregnancy Massage Pada Ibu Hamil Trimester III Dengan Nyeri Akut Jaya, Herawati; Ningsih, Ratna; Marcelah, Putri Bella
JKM : Jurnal Keperawatan Merdeka Vol 4 No 2 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i2.2573

Abstract

Background : The pregnancy period is a time when pregnant women experience physical and psychological changes so that pregnant women have to experience a lot of discomfort. Pregnancy is a special period in life that is associated with hormonal and physiological changes in pregnant women, which can cause or change the course of neurological and psychiatric disorders. In the third trimester, one of the discomforts that often occurs is back pain. During pregnancy, back pain is a problem that often occurs, especially in the last three months of pregnancy. At this gestational age, pregnant women often appear worried, perhaps feeling pain in the third trimester. Method : This case study design uses a descriptive research design in the form of a case study. This research data was taken through interviews, observation, examination, implementation and pain assessment scales. The case study subjects were 3 people 3-4 hours in the third trimester with acute pain problems at the Muhammadiyah Palembang Hospital, in March and April 2024. Results : Nursing care with the implementation of pregnancy massage nursing showed a reduction in pain levels from a moderate pain scale to a mild pain scale in the three patients. Conclusion : The implementation of pregnancy massage nursing showed the effectiveness of reducing pain levels in patient.
Kombinasi Pijat Oksitosin Menggunakan Aromaterapi Pada Ibu Dengan Menyusui Tidak Efektif Ningsih, Ratna; Rosnani, Rosnani; Jaya, Herawati; Marliza, Vivin Dwi
JKM : Jurnal Keperawatan Merdeka Vol 4 No 2 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i2.2608

Abstract

Background: Post partum mothers have their own impacts on mothers, including early initiation of breastfeeding (IMD) which is not fulfilled which results in problems with the mother's breastfeeding process. The ineffectiveness of post-partum breastfeeding makes it difficult for mothers to give breast milk to their babies. One effort that can be done is to do an oxytocin massage using lavender aromatherapy. Objective: To describe the implementation of oxytocin massage nursing using aromatherapy in post partum patients with ineffective breastfeeding. Method: The design of this case study is descriptive in the form of a case study with a nursing process approach consisting of assessment, nursing diagnosis, planning, evaluation and documentation. The case study subjects were 2 cases of post partum patients with ineffective breastfeeding at the Muhammadiyah Palembang Hospital in 2024. Results: The results of the case study after implementing oxytocin nursing using lavender aromatherapy showed that the results from patient 1 and patient 2 showed that breast milk supply increased. There is a significant relationship between breastfeeding and the ineffectiveness of giving oxytocin massage using lavender aromatherapy. Conclusion: Implementation of breastfeeding nursing is not effective. Giving oxytocin massage using lavender aromatherapy can be applied because it is effective in increasing breast milk production.
POSTPARTUM MOTHERS' BEHAVIOR IN CARE OF BABIES DURING NEW HABITS ADAPTATION IN HOSPITAL Intan Kumalasari; Maksuk, Maksuk; Maliha Amin; Rahmad Aswin Juliansyah; Herawati Jaya
Indonesia Epidemiological Journal Vol 2 No 1 (2023): Epidemiological Journal of Indonesia
Publisher : Perhimpunan Ahli Epidemiologi Indonesia

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Abstract

Background: Indonesia is one of the countries affected by the Corona Virus Disease-19 (COVID-19) pandemic with a fluctuating number of confirmed events (new cases). One of the populations at risk for infection with the Covid-19 virus is postpartum mothers and newborns. More than 50% of infant deaths occur in the neonatal period, which is the first month of life. Babies who do not get adequate care can experience various infectious diseases through the umbilical cord, mouth, eyes and ears, both during breastfeeding, bathing the baby and daily care.Methods: This study is a descriptive study to describe the behavior of mothers in caring for newborns during the adaptation period of new habits after the COVID-19 pandemic at three regional hospitals, namely Prabumulih Hospital, Sekayu Hospital and Muara Enim Hospital in 2021. The population in this study was all postpartum mothers in July 2021, a sample of 96 postpartum mothers was taken by total sampling on 4-30 July 2021. Results: Univariate data analysis showed that 84,86% of mothers had good knowledge and 80,33% of postpartum mothers had a good attitude in care babies every day during the pandemic, especially always washing hands or using hand sanitizer when touching babies, reducing kissing babies and limiting the number of visits during the pandemic. Conclusion:Good knowledge leads to appropriate attitudes and actions in newborn care; It takes the participation of parents, families, and health workers to ensure the success of baby care in the new normal era.
Incidence Rate and Risk Factor Analysis of Asphyxia Neonatorum Intan Kumalasari; Indah Dewi Ridawati; Maliha Amin; Herawati Jaya; Ismar Agustin; Zizke Rusella
Journal of Health Science Community Vol. 2 No. 3 (2022): February
Publisher : Universitas STRADA Indonesia

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Abstract

Asphyxia neonatorum is still the third cause of death for newborns in the first week of life. Failure to breathe spontaneously and regularly after birth if not handled properly will be fatal for the baby's life. The purpose of this study was to determine the risk factors and incidence of asphyxia neonatorum. This study uses an analytical survey with a cross sectional approach, using secondary data from the medical record installation of Muhamadiyah Hospital Palembang for the period 1 Sept to 1 Oct 2016 with a total sampling technique of 156 births. statistical analysis using chi-square. The results of the analysis of the incidence of asphyxia neonatorum was 8.3%. There was a significant relationship between amniotic fluid mixed with meconium (p=0,000;OR=21,719) and prolonged second stage (p=0,002;OR=42,600) and asphyxia neonatorum. Early detection through regular antenatal examinations can minimize risk factors and the incidence of asphyxia neonatorum.
Terapi Relaksasi Genggam Jari Pada Ibu Post Sectio Caesarea Dengan Nyeri Akut Jaya, Herawati; Ningsih, Ratna; Tusika, Nella
JKM : Jurnal Keperawatan Merdeka Vol 5 No 1 (2025): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v5i1.2803

Abstract

Background: Based on data obtained at the Palembang Muhammadiyah Hospital, it was noted that 173 mothers gave birth by caesarean section in 2014. The problem that arises after SC surgery is pain in the post-operative wound due to the incision wound. The aim of this study was to describe the nursing implementation of finger grip relaxation therapy (observation, therapeutic and educational) and analyze the results in post sc patients with acute pain. Methods: This research design uses descriptive methods in the form of a case study. The case study subjects were 2 people 4-6 hours post SC with acute pain problems at Muhammadiyah Palembang Hospital, in April 2024. This research data was taken through interviews, observation, examination, implementation and assessment scales. The analysis was carried out descriptively and presented with tables and narratives. Results: There was a decrease in the level of pain from a moderate pain scale to a mild pain scale in both patients after implementing finger grip relaxation therapy. Conclusion: The implementation of finger grip relaxation therapy is effective in reducing pain levels in post caesarean section patients and is applied.
Pengetahuan Ibu Tentang Pre Eklampsia Pada Masa New Normal Pandemi Covid-19 Amin, Maliha; Jaya, Herawati; Ningsih, Ratna
JKM : Jurnal Keperawatan Merdeka Vol 5 No 1 (2025): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v5i1.2842

Abstract

Background: Pregnancy is a physiological condition that can be accompanied by pathological processes that threaten the condition of the mother and fetus. About 15% of pregnant women suffer from serious complications, of which one third is preeclampsia. In normal situations, maternal and neonatal deaths in Indonesia are still a big challenge, especially during disaster situations. Currently, Indonesia is facing the non-natural national disaster COVID-19 so that maternal and neonatal health services are one of the services affected, both in terms of access and quality. It is feared that this will cause an increase in maternal and newborn morbidity and mortality. The results of a preliminary study at Posyandu Jayalaksana, every month there is an activity at Posyandu, namely weighing of toddlers by health workers from PKM.4 ulu, but some mothers said that they had never heard about Pre-Eclampsia. This research aims to determine mothers' knowledge about Eclampsia during the new normal Covid.19 period at Posyandu Jayalaksana, Subdistrict 3-4 Ulu, Palembang City. Methods: This study design used descriptive with an observational method. In this study samples were taken using the alovin formula. There were 50 respondents who were willing to take part in this research. The data collection instrument uses a structured questionnaire with interview guidelines. Results: The results of this research showed that the majority of respondents were over 30 years old. Most of the respondents were at elementary school education level. All respondents in this study did not work or were housewives. Conclusion: Based on the research results, it can be concluded that the majority of respondents have sufficient knowledge and have good attitudes.