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ACUTE PAIN NURSING CARE WITH CONGESTIVE HEART FAILURE Fitria, Fatkhiyatul; Ilkafah, Ilkafah; Prasetyo, Cucuk Rachmadi
Journal of Vocational Nursing Vol. 1 No. 2 (2020): October 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v1i2.23566

Abstract

Introduction: Patients with congestive heart failure usually have problems nursing chest pain. To reduce pain problems, there are several therapies that can be done, namely deep breath relaxation techniques, guide imagery techniques, and environmental management. The preferred therapy in this case is nonfaramcological, which is a deep breath relaxation technique. The purpose of this study was to provide acute pain nursing care for Congestive Heart Failure patients in the Heart Room at Dr. Soegiri Lamongan Hospital. Methods: Case study used to explore this study. Data collection is obtained through: interviews, observation, physical examination and documentation study. Analyzed case study results. From the discussion between literature review and case review, it is concluded that there is suitability from diagnosis to evaluation. Results: the case studies show an agreement between theoretical review and case review in patients. Evaluation of the Acute Pain nursing diagnoses, the problem was resolved on the third day. Conclusion: from the research conducted, found that deep breath relaxation technique is one of the effective non-pharmacological pain management methods to reduce pain.
NURSING CARE FOR ACUTE PAIN IN POST-OPERATION FRACTURES Ilkafah, Ilkafah; Lestari, Indah Dwi
Journal of Vocational Nursing Vol. 2 No. 1 (2021): May 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v2i1.26377

Abstract

Introduction: Fracture is a condition which will cause interference with mobilization and pain in patients. In a fracture patient, the patient will be surgically operated or operated on. Complaints that often arise in patients due to after surgery is pain. Pain is a major nursing problem in fractures. The purpose of this study was to carry out nursing care for patients with acute pain in patients with Sinusra Radius Fracture Post Surgery in Dr. Soegiri Lamongan. Methods: This research used qualitative research case study approach. The research subject used was one patient with a nursing problem that is Acute Pain in Post Sinusra Radius Fracture Surgery. This study used 1 patient as a participant on 26 September 2019 to 28 September 2019 in Bougenvil 1 room Dr. Soegiri Lamongan. Data collection uses assessment by interview, physical examination, supporting examination and supported by other documentation. Data analysis with this research was carried out while still paying attention to research ethics. Results: The results obtained are acute pain nursing problems, with priority nursing actions efforts to overcome decreased pain in patients. After doing care for three days, there are decrease in pain scale as evidenced by the pain scale on the third day, the client improved with the original scale of 5 to 3. Conclusion: The conclusion from the research conducted found that deep breathing relaxation technique is one of the effective non-pharmacological  pain management methods to reduce pain. To overcome the postoperative incident Sinus Radius Fracture, patients should take medication regularly, and control health services.  
NURSING CARE OF CONTINUOUS URINARY INCONTINENCE IN THE ELDERLY POST-ISCHEMIC STROKE A CASE REPORT Tyas, Anestasia Pangestu Mei; Arisandy, Fatimahndya Maulitha De; Ilkafah, Ilkafah; Mardhika, Amellia; Sulpat, Emuliana
Journal of Vocational Nursing Vol. 3 No. 1 (2022): MAY 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v3i1.35938

Abstract

Introduction : Continuous urinary incontinence is the continued and uncontrolled passing of urine without distension and a feeling of fullness in the bladder due to neurological dysfunction. This condition is often found in the elderly post-ischemic stroke. The study aimed to describe nursing care of continuous urinary incontinence in the elderly post-ischemic stroke in Lamongan. Methods : This study used a case study approach (case report) on a participant through the nursing process approach. The sample in this study is one patient, an elderly post-ischemic stroke. This research was conducted in 2021 in Lamongan with three visits to patients' homes for seven days. Data collection techniques include interviews, observation, and physical examination. This research instrument uses the gerontic nursing care format and sandvik severity index. Results : Continuous urinary incontinence nursing care with the main intervention for urinary incontinence treatment (I.04163) and the supporting intervention is pelvic muscle exercises (I.07215) can be applied to elderly post-ischemic stroke according to the expected outcomes. The continuous urinary incontinence has a partially resolved on the third home visit. The client can hold urine several times when the bladder feels full, reduced the frequency of night urination, and rarely wakes up because of wet diapers. Sandvik Severity Index shows a value of 4 (moderate incontinence). Conclusions: Improving nursing care need for collaboration between patients, families, and health workers in performing pelvic muscle exercises independently, continuously, and regularly to increase the strength of the detrusor-sphincter muscles and showed improvement in urinary continence.
INEFFECTIVE BREATHING PATTERN NURSING CARE WITH CHRONIC KIDNEY DISEASES PATIENT ilkafah, Ilkafah; Fujiyah, Eka Fatmah; Purwanto, Cucuk Rahmadi; Susanto, Joko; Lutfiandini, Cherlys Tin
Journal of Vocational Nursing Vol. 3 No. 1 (2022): MAY 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v3i1.36056

Abstract

Introduction: Patient with Chronic Kidney Disease (CKD) will get a failure to breathing because of fluid accumulation in the lung. Patients with CKD will not be able to breathe normally, so the main problem that often occurs is an ineffective breathing pattern.  This study aims to explore nursing care for patients with ineffective-breathing pattern in patient with CKD at Soegiri Lamongan hospital. Methods: The design of this research is qualitative with a case study, the methods of data collection through interviews, observations, physical examinations and documentation studies. The data obtained were analyzed by comparing case reviews and literature reviews. Results: The results of the problems for nursing diagnosis that arise are CKD with ineefective-breathing pattern. Interventions that are emphasized and carried out in the field in the case study are providing a semi-fowler/ fowler position, and maintaining oxygen therapy. Final evaluation of nursing diagnoses in patients with problems resolved and goals achieved according to the specified time criteria. Conclusions: The study indicated that ineefective breathing pattern can be solved by positioning a semi-fowler or half-sitting position, decrease fluid intake and correcting anemia. Suggestions for nurses to focus in developing science and technology to be applied to all nursing personnel in providing nursing care for ineffective breathing patterns for patients with chronic kidney disease.
Kondisi Psikologis dan Kualitas Tidur pada Lansia Kelompok Prolanis Susanto, Joko; Makhfudli, Makhfudli; Ilkafah, Ilkafah; Sairozi, Ali; Tyas, Anestasia Pangestu Mei; Wijayanti, Endah Sri; Iswatun, Iswatun; Umam, Khotibul
Jurnal Kesehatan Vokasional Vol 7, No 4 (2022): November
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.74460

Abstract

Latar Belakang: Prevalensi penyakit kronis terutama diabetes melitus (DM) dan hipertensi pada lanjut usia (lansia) terus meningkat. Hal ini berisiko menimbulkan kecacatan, penurunan kualitas hidup, bahkan kematian. Sebagian besar lansia mengeluh mengalami gangguan tidur sehingga mempengaruhi status kesehatan dan kualitas hidup. Aspek psikologis diidentifikasi sebagai salah satu faktor penyebab utama masalah tidur pada lansia penderita DM dan hipertensi.Tujuan: Menganalisis hubungan kondisi psikologis dengan kualitas tidur lansia penderita DM dan hipertensi.Metode: Penelitian dilakukan dengan pendekatan cross sectional di Puskesmas Sukodadi Kabupaten Lamongan pada bulan Oktober‒Desember 2019. Sampel penelitian adalah 104 lansia kelompok prolanis secara purposive sampling. Instrumen penelitian menggunakan kuesioner psychological distress dan Pittsburg Sleep Quality Index (PSQI). Analisis data dengan uji Spearman.Hasil: Sebagian besar 65,4% lansia mengalami tekanan psikologis ringan, dan 54,8% lansia memiliki kualitas tidur baik. Hasil uji Spearman rho p=0,004 dan r=0,282, berarti terdapat hubungan kondisi psikologis dengan kualitas tidur lansia penderita penyakit kronis, kekuatan korelasi lemah dan bersifat positif.Kesimpulan: Kondisi psikologis secara statistik berhubungan dengan kualitas tidur pada lansia penderita penyakit kronis pada kelompok prolanis.
DAUN KERSEN (Muntingia calabura L.) SEBAGAI ALTERNATIF TERAPI PADA PENDERITA GOUT ARTRITIS Ilkafah Ilkafah
Jurnal Farmasi Medica/Pharmacy Medical Journal (PMJ) Vol. 1 No. 1 (2018)
Publisher : Sam Ratulangi University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (233.911 KB) | DOI: 10.35799/pmj.1.1.2018.19649

Abstract

DAUN KERSEN  (Muntingia calabura L.) SEBAGAI ALTERNATIF TERAPI PADA PENDERITA GOUT ARTRITIS Ilkafah1)1)Fakultas Keperawatan Universitas Hasanuddin ABSTRACT               Gout is a disease that is often suffered by the elderly. Pain is a commonly reported and is caused by increasing uric acid in the blood. Allopurinol is one of the drugs choice for people with gout but that has some side effects so it needs other alternative treatments. Herbal therapy is one type of complementary therapies in nursing, one of which is Muntingia calabura L. The aim of this study was to see the difference in effectiveness of Muntingia calabura L. and allopurinol in reducing uric acid and pain scale in gout patients in Tamalanrea Makassar. This study used an experimental design, randomized two-group design by giving Muntingia calabura L. on 22 respondents and allopurinol 100 mg (twice in one day) in 22 respondents selected by simple random sampling with criterion of sample were pain scale on 1-6 and uric acid value were > 6.5 mg / dl (for female); > 7.5 mg / dl (for male). Giving Muntingia calabura L. for 3 weeks drunk twice in one day. Measurement of pain using Visual Analog Scale (VAS). Uric acid level were measured using laboratory tests. The data were analyzed by paired sample t-test for each intervention and by independent t-test to see the effectiveness difference of both therapies with significant level α <0,05. The statistical results showed a decrease in joint pain scale in cherry leaf group (p = 0,00), but no decrease of pain in allopurinol administration (p = 0.07). Both interventions had an effect on decreasing uric acid value (p = 0,00 ) There was a difference in decreasing the pain scale of both interventions but there was no difference to the decrease in uric acid value.It requires further research upon the benefits of Muntingia calabura L. Keywords: Gout, Muntingia calabura L., Pain Scale, Uric Acid Level ABSTRAKGout merupakan penyakit yang sering diderita oleh lansia. Nyeri merupakan keluhan yang sering dilaporkan. Nyeri tersebut diakibatkan tinginya asam urat dalam darah. Allopurinol salah satu obat pilihan bagi penderita gout tetapi obat tersebut memiliki beberapa efek samping sehingga diperlukan terapi lain selain obat. Terapi herbal adalah salah satu jenis terapi komplementer dalam keperawatan, salah satunya adalah daun kersen. Tujuan penelitian ini adalah untuk melihat perbedaan efektivitas daun kersen dan obat allopurinol dalam menurunkan nilai asam urat dan skala nyeri pada penderita gout di Tamalanrea Makassar. Desain penelitian yang digunakan adalah Experimental Design, rancangan penelitian Randomized Two-group Design dengan cara memberikan rebusan daun kersen pada 22 responden dan obat allopurinol 100 mg (2x sehari) pada 22 responden yang dipilih melalui teknik acak yaitu simple random sampling dengan kriteria sampel skala nyeri 1-6 dan nilai asam urat >6,5 mg/dl (bagi wanita); >7,5 mg/dl (bagi pria). Pemberian air rebusan daun kersen selama 3 minggu diminum 2x sehari. Pengukuran nyeri sendi menggunakan Visual Analog Scale (VAS). Kadar asam urat diukur menggunakan pemeriksaan laboratorium. Analisis penelitian untuk setiap intervensi menggunakan uji Paired Sample T-test dan untuk melihat perbedaan efektivitas kedua terapi menggunakan independent t-test dengan tingkat signifikan α < 0,05. Uji statistik menunjukkan ada penurunan skala nyeri sendi pada kelompok rebusan daun kersen  (p = 0,00), tetapi tidak ada penurunan nyeri pada pemberian allopurinol (p=0,07. Kedua intervensi berpengaruh terhadap penurunan nilai asam urat (p = 0,00). Ada perbedaan penurunan skala nyeri dari kedua intervensi tetapi tidak ada perbedaan untuk penurunan nilai asam urat. Diperlukan penelitian lanjutan mengenai manfaat tanaman kersen Kata Kunci : Daun karsen, Gout, Nilai Asam Urat, Skala NyeriÂ