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Studi Kasus Manajemen Nyeri pada Anak Post Laparotomi dengan Masalah Keperawatan Nyeri Akut Hidayat, Nabila Nur Fadilah; Rukmasari, Ema Arum; Rhamdanie, Gusgus Ghraha
MAHESA : Malahayati Health Student Journal Vol 3, No 7 (2023): Volume 3 Nomor 7 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (237.682 KB) | DOI: 10.33024/mahesa.v3i7.10703

Abstract

ABSTRACT Peritonitis is a condition when the peritoneum or serous membrane that separates the abdominal cavity and organs becomes inflamed. Laparotomy is a surgical procedure that is often performed as a management of peritonitis. The main nursing problem that arises in post-laparotomy patients is acute pain. This case study describes pain management in an 8 years old child with a medical diagnosis of Post Laparotomy e.c Peritonitis, and the main nursing diagnosis of acute pain. This study used a descriptive case study method with a nursing care process approach. The primary data collection method was carried out by physical assessment, observation, and interviews, and secondary through medical records. Nursing interventions are carried out in the form of non-pharmacological pain management (deep breathing relaxation techniques) and pharmacological management. The implementation was carried out for 4 days (28-31 October 2022). The results of the evaluation after 4 days of complaints of decreased pain, sound sleep, no grimacing, and appetite in the process of adaptation. Pain management with the management of deep breathing relaxation techniques affects the pain of post-laparotomy pediatric patients. Keywords: Children, Laparotomy, Peritonitis, Pain  ABSTRAK Peritonitis merupakan keadaan dimana peritoneum atau selaput serosa yang membatasi antara rongga perut dan organ perut mengalami peradangan. Laparotomi merupakan salah satu tindakan pembedahan yang kerap dilakukan sebagai penatalaksanaan kejadian peritonitis. Masalah keperawatan utama yang muncul pada pasien pasca tindakan laparotomi merupakan nyeri akut. Studi kasus ini memaparkan terkait manajemen nyeri pada anak berusia 8 tahun dengan diagnosa medis Post Laparotomy e.c Peritonitis dan diagnosa keperawatan utama nyeri akut. Penelitian ini menggunakan metode studi kasus deskriptif dengan pendekatan proses asuhan keperawatan. Metode pengumpulan data secara primer dilakukan dengan pengkajian fisik, observasi dan wawancara, serta secara sekunder melalui rekam medis. Intervensi keperawatan yang dilaksanakan berupa manajemen nyeri penatalaksanaan non farmakologi (teknik relaksasi napas dalam) dan farmakologi. Implementasi dilaksanakan selama 4 hari (28-31 Oktober 2022). Hasil evaluasi setelah 4 hari keluhan nyeri menurun, tidur nyenyak, tidak meringis dan nafsu makan dalam proses adaptasi. Manajemen nyeri dengan penatalaksanaan teknik relaksasi napas dalam berpengaruh terhadap nyeri pasien anak post operasi laparotomi. Kata Kunci:  Anak, Nyeri, Laparotomi, Peritonitis
The Relationship Between Mothers' Participation Level in Integrated Health Posts (Posyandu) and the Nutritional Status of Toddlers Rukmasari, Ema Arum; Maesaroh, Imas; Mamuroh, Lilis
International Journal of Science and Society Vol 6 No 1 (2024): International Journal of Science and Society (IJSOC)
Publisher : GoAcademica Research & Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/ijsoc.v6i1.1077

Abstract

Mother's participation in posyandu is one of the efforts to monitor the nutritional status of children under five. However, there are still mothers who do not use health facilities for their toddlers. The purpose of this study was to determine the relationship between the level of participation of mothers in Posyandu and the nutritional status of children under five. The research method with retrospective cohort approach. The population in this study were 422 mothers with a study sample of 215 mothers. Random sampling technique. The Instrument of Nutritional Status of Children Based on Index was used in this study. Univariate and bivariate analysis of Kendall's tau_b is the analysis of the data used. The results of this study showed that the participation of active mothers to posyandu amounted to 172 people (80%) and inactive as many as 23 people (13%). The nutritional status of toddlers in Sindangkasih Village is mostly in the category of nutritional status at risk of nutrition of more than 129 toddlers (60%), good nutrition of 38 toddlers (17.7%), poor nutrition of 38 toddlers (17.7%), malnutrition of 7 toddlers (3%), nutrition of more than 2 toddlers (0.9%), and obesity of 1 toddler (0.5%). There was no relationship between maternal participation rates and the nutritional status of toddlers and gis. 0.310 > 0.05. The conclusion of the study was that there was no relationship between maternal participation and the nutritional status of toddlers with p = 0.310 > 0.05. This can be caused by a lack of knowledge and attitudes of mothers towards the nutritional status of toddlers. Community Health Centers can conduct outreach and counseling to cadres and mothers who use health services to detect nutritional problems, including malnutrition, as early as possible.
Psychological Wellbeing of Parents Who Have Children with Cancer at Ambu Cancer Fighter House Foundation Rukmasari, Ema Arum; Agusti, Adriyan Dwi; Ramdhanie, Gusgus Ghraha; Kosim
International Journal of Science and Society Vol 5 No 5 (2023): International Journal of Science and Society (IJSOC)
Publisher : GoAcademica Research & Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/ijsoc.v5i5.1084

Abstract

Cancer is a chronic disease that requires intensive treatment. While undergoing treatment, parents of children with cancer are faced with various problems that interfere with their mental health, which can delay the child's treatment process. The aim of this research is to find out the psychological well-being of parents who have children with cancer at the Ambu Cancer Fighters Home Foundation. This research used quantitative descriptions, involving 40 parents who had children with cancer at the Ambu Cancer Fighters Home Foundation. The number of samples taken in this research was 37. The research sampling technique was accidental sampling. The Ryff psychological well-being scale questionnaire was used as an instrument. The data analysis used was univariate. More than half of the respondents had a high level of mental well-being (59.5%), and less than half of the respondents had a low level of mental well-being (40.5%). High levels of psychological well-being indicate that parents are able to face various challenges in caring for their children. Efforts are needed to improve the psychological well-being of parents so they can provide maximum care to their children.
Description of Elementary School Children in Choosing Snacks at School Rukmasari, Ema Arum; Mamuroh, Lilis; Ramdhanie, Gusgus Ghraha; Ama, Yolanda
International Journal of Science and Society Vol 6 No 3 (2024): International Journal of Science and Society (IJSOC)
Publisher : GoAcademica Research & Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/ijsoc.v6i3.1246

Abstract

School is one of the places where children are active with their peers. Peers and the diversity of education at school are factors that influence children's habits in choosing education in school. Nutritional food can play both a positive and a negative role. Children can identify a variety of foods through the intestine so that they can form an appetite, but when the intestine contains intestines, it can cause disease. The study aims to figure out how school-age children choose to attend school. This research uses cross-sectional methods with a quantitative-descriptive approach. The research instrument used was a modified Safriana consumption questionnaire. stratified random sampling technique, with 270 respondents from class I to class VI. The results showed that boys were more likely to choose unhealthy choices than girls. Class I students were the most likely to make unsafe choices, while class VI students were the most likely to make healthy choices. Most kids choose important foods that are delicious and cheap, and the most popular kind of food is one-piece. It is suggested that the school should have a school canteen that provides healthy food and provides health education to children about the importance of choosing healthy meals.
Terapi Bermain Video Game Pada Anak Usia Sekolah Dengan Diagnosa Medis Hipospadia Post Op Uretroplasti : Studi Kasus Maesaroh, Imas; Maryam, Nenden Nur Asriyani; Rukmasari, Ema Arum
Nursing News : Jurnal Ilmiah Keperawatan Vol 8, No 2 (2024)
Publisher : Tribhuwana Tunggadewi University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/nn.v8i2.2929

Abstract

Hipospadia merupakan salah satu kelainan bawaan yang sering terjadi pada anak laki-laki. Penatalaksanaan yang dilakukan adalah pembedahan dan pada fase post operasi akan dirasakan nyeri akut. Studi kasus ini untuk mengetahui apakah penatalaksanaan nyeri dengan bermain game dapat mengurangi nyeri akut yang dirasakan pada anak. Tujuan studi kasus ini untuk memberikan salah satu penatalaksanaan manajemen nyeri non farmakologi terapi bermain video game untuk mengurangi  nyeri akut post op pada anak usia sekolah. Metode menggunakan studi kasus pada nyeri akut post operasi uretroplasti anak usia sekolah. Metode pengumpulan data secara primer yang dilakukan dengan wawancara, observasi, pengkajian fisik, serta secara sekunder melalui rekam medis. Intervensi keperawatan terapi bermain video game diberikan dengan durasi 3 jam per harinya. Hasil studi kasus ini yaitu penerapan terapi bermain video game pada anak usia sekolah dapat menurunkan intensitas nyeri. Manajemen nyeri dengan penatalaksanaan terapi bermain video game dapat menurunkan intensitas nyeri post op pada anak usia sekolah
PERAN DOKUMENTASI KEPERAWATAN DALAM MENJAGA KEAMANAN DAN KESELAMATAN PASIEN DI RUMAH SAKIT: RAPID SCOPING REVIEW Rukmasari, Ema Arum; Putri, Khansa Arina Arya
AKSELERASI: Jurnal Ilmiah Nasional Vol 7 No 3 (2025): AKSELERASI: JURNAL ILMIAH NASIONAL
Publisher : GoAcademica Research dan Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/jin.v7i3.1573

Abstract

Dokumentasi keperawatan sebagai salah satu unsur krusial dalam implementasi keperawatan pasien dirumah sakit. Dokumentasi berfungsi sebagai media berkomunikasi antar tenaga kesehatan, sebagai bukti resmi yang bisa dipertanggungjawabkan secara hukum, dan sebagai dasar untuk mengambil keputusan dalam memberikan perawatan pada pasien. Mutu dokumentasi berkaitan dengan tingkat pelayanan dan keamanan pasien. Kemajuan penggunaan dokumen elektronik dirumah sakit membutuhkan pemetaan bukti ilmiah yang berkaitan dengan peran serta keterlibatannya terhadap keselamatan pasien. Penelitian ini bertujuan memetakan bukti-bukti ilmiah tentang peran dokumentasi keperawatan dalam menunjang keamanan dan keselamatan pasien di rumah sakit. Penelitian ini menggunakan pendekatan Rapid scoping review dengan kerangka PRISMA-ScR. Penelusuran dilakukan melalui database nasional dan internasional, tahun 2018-2025, dengan kata kunci dokumentasi keperawatan, electronic medical record dan keselamatan pasien. Kriteria inklusi mencakup artikel versi lengkap, berkaitan dengan dokumentasi keperawatan, membahas keselamatan pasien. Didapatkan 12 artikel yang memenuhi syarat dan dinalisis secara deskriptif tematik. Hasil penelitian menunjukkan bahwa dokumentasi keperawatan yang berkualitas secara langsung dapat memperbaiki keselamatan pasien dengan meningkatkan kelengkapan data, ketepatan informasi klinis, dan keberlanjutan pelayanan keperawatan. Dokumentasi dalam bentuk elektronik lebih baik daripada menggunakan kertas. Penerapan dokumentasi elektronik terstandar, dan didukung dengan pelatihan serta kemudahan dalam penggunaan sistem berpeluang meningkatkan kualitas asuhan dan menurunkan risiko kesalahan klinis.
Description of Sugar Intake and Academic Performance Among Adolescents at SMPN 28 Bandung Rukmasari, Ema Arum; Junita, Kharissa Permata; Setiorini, Dyah
International Journal of Science and Society Vol 7 No 4 (2025): International Journal of Science and Society (IJSOC)
Publisher : GoAcademica Research & Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/ijsoc.v7i4.1623

Abstract

Academic achievement is influenced by multiple factors, including daily nutritional intake. Sugar consumption is often associated with cognitive function and concentration; however, empirical findings remain inconsistent. This study aimed to analyze the relationship between sugar intake and academic achievement among adolescents. A quantitative study with a correlational design was conducted at SMPN 28 Bandung involving 164 students selected through simple random sampling. Sugar intake data were collected using a Semi-quantitative Food Frequency Questionnaire (SFFQ) and analyzed using the NutriSurvey program, while academic achievement was obtained from students’ report card scores across five semesters. The collected data were analyzed using Pearson’s correlation test because both variables were measured on a ratio scale and met the normality assumption. The results showed that the mean academic achievement score was 90.92 ± 2.34 and the mean sugar intake was 103.01 ± 58.32. Pearson correlation analysis indicated no significant relationship between sugar intake and academic achievement (r = -0.026; p = 0.737). The correlation strength was very weak and negative in direction. It can be concluded that sugar intake was not significantly associated with academic achievement among the study respondents. Other factors beyond sugar intake are likely to play a greater role in determining academic performance.
Optimalisasi Posyandu Remaja Berbasis Sekolah Sebagai Upaya Pencegahan Stunting Rukmasari, Ema Arum; Nurhakim, Furkon; Kosim
Jurnal Abdimas Peradaban Vol. 6 No. 2 (2025): Jurnal Abdimas Peradaban
Publisher : Global Writing Academica Researching and Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/h95xh768

Abstract

Stunting masih menjadi persoalan kesehatan yang cukup serius di masyarakat. Pencegahan stunting harus dilakukan sejak dini terutama pada masa remaja. Salah satu caranya adalah dengan mengoptimalkan kegiatan Posyandu remaja di sekolah. Posyandu remaja berbasis sekolah merupakan tempat yang strategis untuk melakukan pencegahan stunting, melalui kegiatan peer education tentang pentingnya kesehatan dan gizi seimbang. Kegiatan pengabdian masyarakat ini dilaksanakan di wilayah Desa Rancaekek Wetan Kabupaten Bandung, dengan membentuk dan memberdayakan kader kesehatan remaja di sekolah. Terbentuk sebanyak 25 kader kesehatan remaja dari siswa SMP Negeri 01 Rancaekek dan SMA 05 Muhammadiyah Rancaekek yang berdomisili di wilayah setempat. Metode yang diterapkan dalam pembentukan kader kesehatan remaja adalah edukasi gizi seimbang dan pencegahan stunting, pelatihan pemeriksaan kesehatan dasar dan pendampingan pelayanan Posyandu. Berdasarkan hasil kegiatan, adanya peningkatan pengetahuan dan kesadaran remaja Pentingnya menjaga status gizi dan kesehatan sebagai upaya pencegahan stunting sejak dini. Keterlibatan kader kesehatan remaja sebagai peer educator dan agen perubahan diharapkan dapat memunculkan wadah positif dan preventif dengan fungsi Posyandu sebagai wadah promosi dan kesehatan berbasis sekolah. Metode tersebut diharapkan dapat memberikan kontribusi pada keberlangsungan upaya pencegahan Stunting berbasis sekolah dengan mendukung Posyandu remaja.
Hambatan Dalam Deteksi dan Pengobatan Tuberkulosis Pada Anak: Sebuah Narrative Review Nahdriah, Nina; Rakhmawati, Windy; Rukmasari, Ema Arum
MAHESA : Malahayati Health Student Journal Vol 6, No 4 (2026): Volume 6 Nomor 4 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i4.18938

Abstract

ABSTRACT Tuberculosis (TB) in children is a significant global health issue, with numerous challenges in detection and treatment. The inability to obtain diagnostic samples, such as sputum, in children, along with the limited availability of diagnostic tests, exacerbates the problem of detection. Other barriers include a lack of knowledge among healthcare professionals and the community about TB in children. To explore various barriers in the detection and treatment of tuberculosis in children. This study employed a narrative review design, following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) procedure for article selection. Inclusion criteria encompassed articles discussing barriers in the detection and treatment of TB in children, published within the last ten years, and written in English. Data analysis was conducted by identifying key themes related to detection and treatment barriers. Analysis of the articles revealed seven studies discussing the barriers in detecting and treating tuberculosis in children. The primary barriers to TB detection in children include difficulties in obtaining adequate diagnostic samples, limited knowledge of healthcare professionals regarding TB diagnosis in children, and low community awareness of the disease’s symptoms. In treatment, barriers include patient non-adherence to treatment regimens, limited access to appropriate medications, and previously undetected side effects. A holistic approach is needed to enhance healthcare professional training, improve diagnostic technology, and strengthen community awareness to address these challenges and increase the effectiveness of TB treatment in children. Keywords: Detection, Barriers, Treatment, Tuberculosis.ABSTRAK Tuberkulosis (TB) pada anak merupakan masalah kesehatan global yang signifikan, dengan banyak tantangan dalam deteksi dan pengobatan. Ketidakmampuan untuk memperoleh sampel diagnostik, seperti sputum, pada anak-anak, serta keterbatasan tes diagnostik yang tersedia, memperburuk masalah deteksi. Hambatan lainnya mencakup kurangnya pengetahuan di kalangan tenaga medis dan masyarakat mengenai TB pada anak.  Untuk mengeksplorasi berbagai hambatan dalam deteksi dan pengobatan tuberkulosis pada anak. Penelitian ini menggunakan desain narrative review yang mengikuti prosedur PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) untuk seleksi artikel. Kriteria inklusi mencakup artikel yang membahas hambatan dalam deteksi dan pengobatan TB pada anak, dipublikasikan dalam sepuluh tahun terakhir, dan menggunakan bahasa inggris. Analisis data dilakukan dengan mengidentifikasi tema-tema utama terkait hambatan deteksi dan pengobatan. Hasil dari analisis artikel menunjukkan terdapat 7 artikel yang membahas tentang hambatan dalam deteksi dan pengobatan tuberkulosis pada anak. Hambatan utama dalam deteksi TB pada anak adalah kesulitan dalam memperoleh sampel diagnostik yang cukup, kurangnya pengetahuan tenaga medis tentang diagnosis TB pada anak, serta rendahnya kesadaran masyarakat mengenai gejala penyakit. Untuk pengobatan, hambatan meliputi masalah kepatuhan pasien terhadap regimen pengobatan, keterbatasan akses ke obat yang tepat, serta efek samping yang tidak terdeteksi sebelumnya. Perlunya pendekatan holistik untuk meningkatkan pelatihan tenaga medis, memperbaiki teknologi diagnostik, serta memperkuat kesadaran masyarakat untuk mengatasi tantangan ini dan meningkatkan efektivitas pengobatan TB pada anak. Diperlukan strategi yang menyeluruh, seperti peningkatan kapasitas tenaga kesehatan dalam diagnosis TB anak serta edukasi berkelanjutan kepada keluarga dan masyarakat untuk meningkatkan kepatuhan terhadap pengobatan dan mempercepat deteksi dini pada penyakit tuberkulosis. Kata Kunci: Deteksi, Hambatan, Pengobatan, Tuberculosis.