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Asuhan Keperawatan Pada Anak Yang Mengalami Asma Dengan Pendekatan Teori Caring Watson Yesa Junita Sari; Nyimas Heny Purwati
Journal of Innovative and Creativity Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i3.4617

Abstract

Latar Belakang : Asma pada anak merupakan salah satu penyakit kronis yang membutuhkan penanganan komprehensif, tidak hanya dari aspek medis, tetapi juga dukungan emosional dan psikososial. Artikel ini bertujuan untuk menggali makna, persepsi, dan pengalaman perawat dalam memberikan asuhan keperawatan pada anak dengan asma menggunakan pendekatan teori Caring Jean Watson. Metode : Desain penelitian ini menggunakan pendekatan tinjauan litelatur. Subjek penelitian adalah seorang anak dengan asma yang di rawat diruang perawatan anak. Penerapan teori yang digunakan adalah Caring jean watson. Hasil : Pengkajian menunjukkan bahwa penerapan teori Caring Watson mampu meningkatkan rasa aman, kepercayaan, serta kolaborasi anak dan keluarga dalam manajemen asma. Pembahasan menekankan pada sepuluh faktor karatif Watson yang tercermin dalam interaksi perawat-anak-keluarga. Kesimpulan : Penelitian ini memberikan implikasi penting bagi praktik keperawatan anak, bahwa aspek caring menjadi landasan utama dalam mendukung proses penyembuhan dan kualitas hidup anak dengan asma.
Asuhan Keperawatan Pada Anak Meningitis dan Gangguan Kebutuhan Dasar : Tidur dan Istirahat Dengan Pendekatan Teori Model Adaptasi Roy Nuryati; Nyimas Heny Purwati
Journal of Innovative and Creativity Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i3.4619

Abstract

Latar Belakang: Meningitis pada anak merupakan kondisi gawat darurat neurologis yang sering menimbulkan komplikasi, termasuk gangguan pemenuhan kebutuhan dasar tidur dan istirahat. Tidur yang terganggu memperburuk adaptasi fisiologis dan psikososial anak, sehingga berdampak pada proses pemulihan. Artikel ini bertujuan untuk menganalisis penerapan Roy Adaptation Model (RAM) dalam asuhan keperawatan anak dengan meningitis yang mengalami gangguan tidur dan istirahat. Metode: Penulisan dilakukan melalui studi literatur naratif dari jurnal nasional dan internasional 2016–2025, serta analisis penerapan teori keperawatan RAM berdasarkan empat mode adaptasi (fisiologis, konsep diri, fungsi peran, dan interdependensi). Data dukung diperoleh dari standar keperawatan Indonesia (SDKI, SLKI, SIKI edisi 2023). Hasil: Pengkajian dengan RAM mengidentifikasi mekanisme regulator (demam, nyeri kepala, kejang, aktivasi sistem saraf simpatis) dan kognator (persepsi nyeri, kecemasan, rasa takut, pengaruh lingkungan rumah sakit dan keluarga) yang memengaruhi kualitas tidur anak. Diagnosa keperawatan utama adalah gangguan pola tidur, nyeri, hipertermi, risiko perfusi serebral tidak efektif, dan risiko infeksi. Intervensi keperawatan yang sesuai meliputi manajemen lingkungan, manajemen nyeri, manajemen hipertermi, pemantauan fungsi neurologis, serta pencegahan infeksi. Integrasi RAM dengan standar nasional keperawatan terbukti mendukung adaptasi anak secara holistik. Kesimpulan: Penerapan RAM membantu perawat memahami faktor fisiologis dan psikososial yang menyebabkan gangguan tidur pada anak dengan meningitis. Intervensi berbasis teori dan standar praktik nasional berkontribusi pada peningkatan kualitas tidur, adaptasi, dan proses pemulihan anak.
PEMANTAUAN BERBASIS ELEKTRONIK (MEDICATION EVENT MONITORING SYSTEM (MEMS)) UNTUK MENINGKATKAN KEPATUHAN TERHADAP TERAPI ANTIRETROVIRAL PADA ANAK DENGAN INFEKSI HIV/AIDS: TINJAUAN SISTEMATIS Amelia Hartika Rani; Dwi Budiyati; Rinezia Rinza Farizal; Nyimas Heny Purwati; Irna Nursanti
An Idea Health Journal Vol 5 No 01 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v5i01.229

Abstract

Tuberculosis is still the main cause of death due to infectious diseases throughout the world. Adherence to antiretroviral (ARV) treatment for HIV infection is a major challenge because it involves many factors. This systematic review follows the PRISMA guidelines checklist and includes articles from various databases, such as Pubmed, Cochrane and Proquest. Quality assessment of each article is carried out using the Critical Appraisal Skills Program (CASP). The search was carried out using the keywords "ARV Therapy, HIV/AIDS Children, Monitoring System, ARV Compliance". Following the inclusion and exclusion criteria 10 relevant articles were identified, excluding duplicates, limited to full papers, open access, and written in English. These findings indicate that electronic-based monitoring shows an increase in medication adherence. Other studies also note that electronic monitoring devices can create a temporary increase in compliance but then decline after some time. These results indicate that electronic-based monitoring can have a significant clinical impact in improving medication compliance. Electronic monitoring is important, especially in children and adolescents who face unique challenges regarding compliance.
Pemberdayaan Keluarga dalam Merawat Anak Balita dengan Pneumonia Pasca Hospitalisasi Nyimas Heny Purwati; Dhea Natashia; Anita Apriliawati; Dewi Purnamawati; Emmy Putri Wahyuni; Tri Imrotun; Yuniarsih Yuniarsih
Jurnal Pengabdian Masyarakat Saga Komunitas Vol. 2 No. 3 (2023): Jurnal Pengabdian Masyarakat Saga Komunitas Volume 02 Nomor 02 April 2023
Publisher : Sagamedia Indo Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53801/jpmsk.v2i2.95

Abstract

Background: Pneumonia is an acute respiratory infection that attacks the lungs. Pneumonia causes symptoms of difficulty breathing which if left untreated will lead to death. Families with problems with family members who experience illness or disease often make the family unable to meet health care needs or experience powerlessness which worsens the health condition of family members who experience health problems. Nursing intervention is needed to overcome the problem of family powerlessness. Objectives: This community service aims to increase mothers' knowledge and perceptions of caring for toddlers with pneumonia after being hospitalized at Pasar Rebo Hospital. Methods: The method used consists of identifying problems and needs, assessing problems, formulating plans, providing health education, and monitoring the ability of mothers to care for toddlers with pneumonia after being hospitalized. This community service was carried out for four months from June to September 2022. The health education activity was carried out for one day in the children's care room at Pasar Rebo Hospital. The target of this community service activity is mothers who have toddlers with pneumonia who are treated at Pasar Rebo Hospital as many as 10 people. Results: The results of the evaluation show that the average value of knowledge is post-test> pre-test and the average value of attitude is post-test> pre-test. Conclusion: There is an increase in the knowledge and attitude of mothers in caring for children under five with pneumonia after hospitalization. Health education needs to be carried out on an ongoing basis for mothers who have children under five with post-hospitalization pneumonia so they can carry out optimal care and prevent repeated treatments.
A Comparative Study of Nursing Services Between MPKP and Non-MPKP Hospital in Tangerang Ibnu Hajar; Muhamad Hadi; Eni Widiastuti; Harif Fadhilah; Nyimas Heny Purwati; Satinah Satinah
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 13 No 04 (2023): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 13 Number 04 December 2
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v13i04.3910

Abstract

Background: Health services are increasingly competitive so that they carry out various development actions in the industrial era 5.0. Nursing is one that provides services. The services provided must meet predetermined service standards so as to achieve service quality which has an impact on patient satisfaction. There are various assignment methods in nursing services with their advantages and disadvantages and their use is adjusted to the characteristics of each institution. Objectives: To compare whether there is an average difference in patient satisfaction with the MPKP method with non MPKP. Methods: Research design descriptive analytic comparative study through surveys. The total number of samples is 60 respondents. Analysis using the T test Independent Test. Results: The average patient satisfaction with the MPKP method is better than the non-MPKP method. Statistical test results on the dimensions of satisfaction; reliability with P value = 0.000, assurance with P value = 0.004, tangibles with P value = 0.000, empathy with P value = 0.000 and responsiveness with P value = 0.000. So that the P value <0.05, which means that there is a significant positive difference in the average patient satisfaction in the dimensions of reliability, assurance, tangibles, empathy and responsiveness between the MPKP method and non-MPKP methods. Conclusion: There is a significant difference in the average patient satisfaction in the MPKP method with non-MPKP methods Keywords: Comparative, Nursing, PNPM, RATER, Team
The Effectiveness of Quarter Prone Position on Status Hemodynamics and Sleep Duration of Premature Infants Mursiah Mursiah; Nyimas Heny Purwati; Anita Apriliawati; Awaliah Awaliah
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.3683

Abstract

Prematurely born babies often face a range of complex issues such as body temperature instability, cardiovascular problems, fluctuations in blood pressure and heart rate, and respiratory disorders. Improper positioning exacerbates these challenges by compromising their underdeveloped homeostatic mechanisms, leading to physiological instability. Purpose: This study aimed to investigate the impact of the quarter-prone position on the hemodynamic status and sleep duration of premature infants.Methods: A quantitative approach was employed using a quasi-experimental research design with a pre-post control group. The study was conducted at one of urban hospitals in Indonesia over a one-month period from February to July 2023. Thirty-two participants were divided into intervention and control groups. Data analysis using univariate and bivariate analysis Independent T-Test.&nbsp; Results: There are no statistically significant differences among the control and intervention groups (p-value &gt; 0.005). that there is significant statistical difference among two group at post-test at all variables (p-value : 0.00) Discussion&nbsp; The quarter-prone position, in conjunction with environmental factors like noise and lighting, influences the respiratory rate, heart rate, oxygen saturation, and sleep duration of premature infants. Nurses are encouraged to implement the quarter-prone position in caring for premature babies to enhance nursing quality and improve their overall quality of life. This approach is supported by its potential impact on the growth and developmental outcomes of premature infants in the long term.
Narrative Literature Review: Efektivitas Blowing Therapy terhadap Status Respirasi Anak dengan Pneumonia: Narrative Literature Review: The Effectiveness of Blowing Therapy on the Respiratory Status of Children with Pneumonia Riza Fitri; Nyimas Heny Purwati
Jurnal Keperawatan Bunda Delima Vol 8 No 7 (2026): EDISI JULI
Publisher : Akademi Keperawatan Bunda Delima Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59030/jkbd.v8i7.472

Abstract

Pendahuluan: Pneumonia adalah salah satu penyebab utama morbiditas dan mortalitas pada anak-anak di dunia, terutama pada anak-anak dan kelompok usia prasekolah. Peradangan pada parenkim paru-paru menyebabkan peningkatan produksi sekresi, gangguan ventilasi, dan penurunan pertukaran gas. Anak-anak dengan pneumonia sering menunjukkan gejala takipnea, penyempitan dinding dada, penggunaan otot pernapasan, dan penurunan saturasi oksigen, yang dapat berkembang menjadi hipoksia dan gagal napas jika tidak ditangani dengan benar. Tujuan penelitian ini menganalisis dan menggabungkan bukti tentang efektivitas blowing therapy pada status pernapasan anak dengan pneumonia.    Metode: Penelitian ini menggunakan metode Narrative Literature Review (NLR) dengan mencari referensi di database Google Scholar, PubMed, dan ProQuest dengan kata kunci " blowing therapy" atau "terapi meniup", "pneumonia", "anak", dan "status pernapasan". Artikel yang digunakan terbatas pada publikasi dari tahun 2015-2025. Hasil: 7 dari 85 artikel yang diidentifikasi memenuhi kriteria inklusi dan dianalisis dalam penelitian ini. Semua penelitian menunjukkan bahwa terapi meniup efektif dalam mengurangi laju pernapasan ketika rentang pernapasan berkurang  hingga 12 kali per menit, meningkatkan saturasi oksigen (SpO₂) antara 0,55% dan 5%, mengurangi suara pernapasan lainnya (ronkhi), meningkatkan efisiensi batuk, dan memperbaiki pola pernapasan pada anak dengan pneumonia. Bentuk intervensi antara lain latihan meniup balon, meniup kupu-kupu kertas, meniup membuat gelembung, dan permainan pernapasan bibir (PLB). Kesimpulan: Blowing therapy adalah intervensi non-farmakologis yang efektif, aman, sederhana, dan hemat biaya yang membantu memperbaiki kondisi pernapasan pada anak-anak dengan pneumonia. Pendekatan berbasis permainan untuk terapi meniup meningkatkan kenyamanan dan kerja sama anak selama perawatan. Intervensi ini berpotensi digunakan sebagai terapi tambahan dalam praktik keperawatan anak akut dan kritis berdasarkan praktik berbasis bukti.