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Nirwan Nirwan
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Journal : Journal Keperawatan

 1 
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.
Fenomena Pengalaman Pengasuh Anak Korban Kekerasan Fisik di Kota Banda Aceh: Studi Kualitatif Riani, Eka Oktarina; Said, Devi Elvin; Jauhari, Julianti; Nirwan, Nirwan
Journal Keperawatan Vol. 3 No. 1 (2024): May 2024
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58774/jourkep.v3i1.69

Abstract

Background: Violence against children is a global phenomenon that poses significant challenges to the health care system because it has serious consequences for victims. Purpose: To examine the experiences of caregivers in Banda Aceh who provide assistance to children who have been physically abused. The event under consideration involves perception, adaption reaction, physiological delivery, supporting the child's adaptation process concerning interdependence, and assisting the child's adaptation process concerning self-concept, role, and function.  Methods: This study used a qualitative, phenomenological approach to its investigation. The caregiver serves as the major informant for this study, providing care and meeting the needs of children who are physically abused. Key informants have traits including providing for the everyday needs of the children they live with, living at home with child victims of violence, and effectively communicating their experiences. Interviews and pertinent literature reviews were used to gather research data, which was subsequently analyzed using the Colaizzi. Results: The study's findings are as follows: 1) The caregiver is aware that the child's perception of physical violence is a result of their wrongdoings, 2) The principal caregiver observes the detrimental effects of physical abuse on the kid, 3) The violent child receives physical assistance from the primary caregiver. current physiological requirements by obtaining resources, 4) By offering moral support, the caregiver assists children who experience physical abuse in their self-concept. 5) Using techniques to enhance the child's role function, the caregiver supports children who have experienced physical abuse in this area, and 6) The caregiver seeks counseling support in order to assist children who are physically abused in the area of interdependence. Conclusion: caregivers are capable of improving perception, adaptation reactions, physiological delivery, supporting the child's adaptation process based on interdependence, and helping the child adapt to self-conceptions, roles, and functions.
Co-Authors Adriana, Mustika Aisyah Warsid Akrom, Choirul Nur Alansar, Toufik Almanda, Almanda Aminudin Mane Kandari Andi Arninda Anggi Vahlevi Silaen, Irgi Anugrah Umar Arif Hidayat Bimbim Maghriby Burhanuddin AG CHALIL, CHALIL Dafiuddin Salim, Dafiuddin Dani Ramdani, Dani Elvin, Said Devi Fahmal, A. Muin Faisal, Imam Agus Faudi, Faudi Fauzi, Makmun Fithria, Fithria Haerani, Ika Aulia Halimatussakdiah Halimatussakdiah Hartaty, Neti Helmanda, Cut Mawar Hermansyah Hermansyah Illahi, Amanah Irfansyah Irfansyah Irgi Anggi Vahlevi Silaen Isminarni, Siti Isneini Isneini, Isneini Isra, Rahmi Jauhari, Julianti Jubaeda Jubaeda Kristian, Michael Rovendo Latifah Hanum Lestari, Noviana Malinda, Bianca Maulida, Sri Dewi Zahra Atira Megawanto, Rony Mohammad Arif Mohammad Ega Nugraha Mohammad Zeylo Auriza Muhammad Syahdan Mujani, Sahril Munazar Munazar Mustika Adriana Nabila Zulchairini Nasdwiana, Nasdwiana Nur, Anugrah Moh Nurhidayatullah Nurhidayatullah, Nurhidayatullah Nuryamin Nuryamin, Nuryamin Octavianus, R. Oetama, Saiful Purnomo P, Rana Anyndya Putra, Muhammad Arif Syah Putri Pesik, Caesaria Omega Rachmawati Hasid Rafika Sari Rafika Sari Rafina Rafina Rahmatun Nisa, Rahmatun Ramadhanty, Faiza Novia Ramadhina, Retno Riani, Eka Oktarina Rimadeni, Yeni Sahriman, Sitti Said, Devi Elvin Salahuddin Salahuddin Salma, Nabila Semmagga, Nuraeni Setiawan Mandala Putra Silfiana, Andi Sitio, Roma Sri Diana SRI RAHAYU suardi suardi Subhan, Andi Muhammad Suwardi Suwardi Suyati - Syam, Andi Fatmawaty Syamsul Bahri Taufik Taufik Windi Arista Wirdayanti Wulan, Nawak Yuswardi yuswardi, Yuswardi