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PENERAPAN ASKEP DENGAN GANGGUAN SISTEM REPRODUKSI CA SERVIKS DALAM PEMENUHAN KEBUTUHAN RASA NYAMAN (NYERI) Application Of Nursing Care With Servical Cancer in Fulfilling Comfortable Needs (Pain) Zulfia Samiun
Media Keperawatan:Politeknik Kesehatan Makassar Vol 10, No 1 (2019): Media Keperawatan: Politeknik Kesehatan Makassar
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Makassar

AbstractBackground: Cervical cancer is a leading cause of death among women worldwide. It is estimated that 274,000 deaths occur each year due to this preventable disease. According to the World Health Organization (2013) quoted from Rachmawati (2014), deaths from breast cancer and cervical cancer in 2011 were 273,500. Deaths and in 2010 totaled 247,000, in Indonesia every year the number of patients with cervical cancer according to the Indonesian Cervical Cancer Care Foundation (2012), in Indonesia each year the number of patients with cervical cancer is very high, 15,000 cases. This was stated to be equivalent to 40 women suffering from cervical cancer and 20 of them died. In 2030, in Indonesia the number of patients with cervical cancer is expected to experience a 7-fold increase.Purpose: to carry out nursing care for Ny "D" clients with reproductive system disorders Ca. Cervix in the room of Baji Gau I RSUD Labuang Baji Makassar.Method: The design used in this study is a case study which is to provide nursing care to the client "D" with a reproductive system disorder Ca. Cervix in the Baji Gau I room at Labuang Baji Hospital Makassar.Results: From the results of the study it was found that nursing diagnoses of pain were associated with infiltration of cancer cells to tissues. Interventions are based on existing theories. Implementation is carried out based on the intervention that has been made. After the implementation is carried out, the evaluation / results of the problem have not been resolved.Conclusion: Pain nursing diagnoses associated with infiltration of cancer cells to tissues after implementation for 3 days obtained results of nursing problems have not been resolved. Keywords: Askep, Cervical Ca, Pain AbstrakLatar Belakang : Kanker serviks merupakan penyebab utama kematian di antara perempuan di seluruh dunia. Diperkirakan bahwa 274.000 kamatian terjadi setiap tahun akibat penyakit yang dapat dicegah ini. Menurut World Health Organization (2013) dikutip dari Rachmawati (2014), kematian akibat kanker payudara dan kanker seviks pada tahun 2011 sebanyak 273.500. Kematian dan pada tahun 2010 sebanyak 247.000, di Indonesia setiap tahun jumlah penderita kanker serviks Menurut Yayasan Peduli Kanker Serviks Indonesia (2012), di Indonesia setiap tahunnya jumlah penderita kanker serviks sangat tinggi yaitu 15.000 kasus. Hal ini dinyatakan setara dengan 40 wanita menderita kanker serviks dan 20 diantaranya meninggal. Pada tahun 2030, di Indonesia jumlah penderita kanker seviks diperkirakan akan mengalami peningkatan 7 kali lipat.Tujuan : untuk melaksanakan asuhan keperawatan pada klien Ny “D” dengan gangguan sistem reproduksi Ca. Serviks diruang Baji Gau I RSUD Labuang Baji Makassar. Metode : Desain yang digunakan dalam penelitian ini adalah study kasus yakni memberikan asuhan keperawatan pada klien Ny “D” dengan gangguan sistem reproduksi Ca. Serviks di ruang Baji Gau I RSUD Labuang Baji Makassar. Hasil : dari hasil pengkajian ditemukan diagnosa keperawatan nyeri berhubungan dengan infiltrasi sel kanker ke jaringan. Intervensi ditegakkan berdasarkan teori yang ada. Implementasi dilakukan berdasakan intervensi yang telah dibuat. Setelah dilakukan implementasi didapatkan evaluasi/hasil masalah belum teratasi.Kesimpulan : diagnosa keperawatan nyeri berhubungan dengan infiltrasi sel kanker ke jaringan setelah dilakukan implementasi selama 3 hari diapatkan hasil masalah keperawatan belum teratasi. Kata kunci : Askep, Ca Serviks, NyeriPENERAPAN ASKEP DENGAN GANGGUAN SISTEM REPRODUKSI CA SERVIKS DALAM PEMENUHAN KEBUTUHAN RASA NYAMAN (NYERI) Application Of Nursing Care With Servical Cancer in Fulfilling Comfortable Needs (Pain)

GAMBARAN RESPON YANG DIRASAKAN PETUGAS KESEHATAN TERHADAP PEMBERIAN VAKSIN COVID-19 DI RSUD LABUANG BAJI MAKASSAR Nurlina Nurlina; Zulfia Samiun; Jamaluddin Jamaluddin
Media Keperawatan:Politeknik Kesehatan Makassar Vol 13, No 1 (2022): Media Keperawatan: Politeknik Kesehatan Makassar
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/jmk.v13i1.2424

The Covid-19 outbreak, which emerged in December 2019 in China, then spread to various countries including Indonesia, so the WHO declared it a global pandemic. Many research institutions and pharmaceutical companies are vying to find and produce vaccines against Covid-19 disease, Indonesia is also involved in the development of COVID-19 vaccines in collaboration with several countries and pharmaceutical companies. Objective: to find out the response felt by health workers to the administration of the Covid-19 vaccine. Method: This type of research is descriptive analytic with descriptive method of the object under study through the collected sample. Methods of data collection with primary data and secondary data. The sampling technique in this research is simple random sampling. Results: there are respondents who feel the effect 5 minutes after the vaccine, there are two respondents who are around 10-15 minutes after the vaccine, there are two respondents who feel the effect 30 minutes after the vaccine, three respondents who are around 1-2 hours after injection, some are 2 hours, there were 3 respondents felt side effects one day after the injection of the Covid-19 vaccine, 2 respondents only felt side effects during the first vaccine, three respondents felt a few hours after the vaccine, one respondent said the effect was felt since receiving the Covid-19 vaccine and there was one respondents who did not feel the effects of the Covid-19 vaccine. Conclusion: The response felt by Health Officers before giving the Covid-19 Vaccine was that respondents felt anxious, stressed, tense, doubtful and afraid. There were 3 respondents who felt normal before receiving the Covid-19 vaccine injection. After receiving the first dose of the Covid-19 vaccine, namely feeling sleepy, hungry, dizzy, headache, sore, achy, cramping at the injection area, feeling anxious about the side effects of the Covid-19 vaccine, and there was one respondent who did not feel any side effects. of the Covid-19 vaccine injection. In the second dose of vaccine, there were respondents who did not feel the same side effects when the first dose of vaccine.Keywords: response, health workers, Covid-19 vaccine

Early Detection of Preeclampsia Through Urine Protein Examination as a Means of Maternal Emergency Prevention Zulfia Samiun; Nasriani Nasriani; Muhammad Purqan Nur; Wulandari Dwi Putri; Nur Ilah
Jurnal Ilmiah Kesehatan (JIKA) Vol. 5 No. 2 (2023): Volume 5 Nomor 2 Agustus 2023
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v5i2.472

A decrease in urine albumin levels in pregnant women, which can be checked through urine protein examination, is an indicator used to determine whether a pregnant woman is experiencing preeclampsia. Preeclampsia has become a cause of increasing morbidity and mortality rates which affects both mothers and newborns. This research aimed to early detect the preeclampsia through urine protein examination and see the correlation between the characteristics of the research subjects and urine protein. Used a descriptive design with a correlational design, the urine protein from 36 pregnant women was examined in their second and third trimesters of pregnancy. Next, univariate analysis was carried out and Spearman Correlation test was used in bivariate analysis for abnormally distributed ordinal data while the Contingency Coefficient Correlation test was carried out for data that used abnormally distributed nominal scale. Based on the bivariate analysis, the variables of age, education, employment, and obstetric history obtained a significant value of p value>0,05, showed no correlation with urine protein. Contrarily, the blood pressure variable had a significant value of p 0,049 < 0,05. Pregnant women in gestational age of >20 weeks with high blood pressure must examine the urine protein immediately to early detect preeclampsia and prevent maternal emergencies.

Dukungan Tenaga Kesehatan dalam Pemberian ASI Eksklusif : Health Worker Support in Exclusive Breastfeeding Musliha Mustary; Zulfia Samiun; Aslinda Aslinda; Hasnidar Hasnidar
Jurnal Ilmiah Kebidanan dan Kesehatan (JIBI) Vol. 1 No. 1 (2023): Volume 1 Nomor 1 Desember 2023
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jibi.v1i1.700

ASI memiliki nilai nutrisi yang sangat komprehensif dan penting bagi pertumbuhan serta perkembangan optimal bayi, mencukupi kebutuhan gizi hingga usia 6 bulan. Tindakan untuk memberikan dukungan pada peningkatan pemberian ASI eksklusif tergambar dari berbagai pernyataan resmi atau kesepakatan, baik pada tingkat global maupun nasional, yang bertujuan untuk melindungi, mempromosikan, dan mendukung praktik pemberian ASI. Penelitian ini mengenai dukungan tenaga kesehatan dalam pemberian ASI eksklusif di dusun Bonti-Bonti desa Mattoangin Kecamatan Bantimurung Kabupaten Maros. Metode penelitian yang diterapkan adalah analisis kuantitatif dengan pendekatan cross-sectional, Sampel dalam penelitian ini terdiri dari 26 individu, yaitu seluruh Ibu yang sedang menyusui yang tercatat di Pusat Kesehatan Desa (Pustu) Mattoangin, lebih tepatnya di Dusun Bonti-Bonti, Desa Mattoanging Kecamatan Bantimurung, Kabupaten Maros pada tahun 2020. Dukungan yang diberikan oleh tenaga kesehatan sudah memadai meski hasil penelitian menunjukkan tidak ada hubungan antara dukungan tenaga kesehatan dengan pemberian ASI. Dalam hal ini ibu-ibu lebih banyak berdiskusi dan mengandalkan dukungan dari keluarga mereka dalam konteks pemberian ASI eksklusif. Tidak ada hubungan antara dukungan tenaga kesehatan dengan pemberian ASI di Wilayah Kerja Dusun Bonti-Bonti Desa Mattoanging Kecamatan Bantimurung Kabupaten Maros (p=Value=0.069) berdasarkan uji statistik p-value > 0,05

Penerapan Asuhan Keperawatan Dalam Pemenuhan Kebutuhan Nyeri Di RSIA Sitti Khadijah III Makassar Samiun, Zulfia
Journal of Health Education and Literacy Vol 1 No 2 (2019): Journal of Health, Education and Literacy (J-Healt)
Publisher : Universitas Sulawesi Barat

Kematian dan kesakitan ibu masih merupakan masalah kesehatan yang serius di negara berkembang. Menurut laporan World Health Organization (WHO) Tahun 2014 Angka Kematian Ibu (AKI) di dunia yaitu 289.000 jiwa dengan indonesia mencapai 190.000 per 100.000 kelahiran hidup. Ruptur perineum merupakan penyebab tingginya angka kematian ibu bersalin kedua setelah perdarahan. Hampir 90% ibu mengalami robekan perineum setelah persalinan.Salah satu dampak yang dirasakan pasien yang mengalami ruptur perineum yaitu terjadi gangguan rasa nyaman nyeri yang bila tidak segera diatasi akan menimbulkan efek membahayakan yang dapat menganggu proses penyembuhan luka ruptur perineum. Penelitian ini untuk menggambarkan asuhan keperawatan pada klien post partum normal dengan ruptur perieum dalam pemenuhan kebutuhan rasa nyaman nyeri. Menggunakan tehnik wawancara, observasi, pemeriksaan fisik dan status kesehatan. Hasil penelitian studi kasus ini didapatkan gangguan kebutuhan rasa nyaman nyeri pada Ny. R teratasi dengan kriteria : nyeri berkurang dengan skala 2 dan klien mampu melakukan manajemen penanganan nyeri.

Hubungan Status Gizi Terhadap Produksi ASI Pada Ibu Menyusui di Puskesmas Tamalanrea Makassar Samiun, Zulfia
Journal of Health Education and Literacy Vol 2 No 1 (2019): Journal of Health, Education and Literacy (J-Healt)
Publisher : Universitas Sulawesi Barat

ASI merupakan makanan pertama, utama dan terbaik bagi bayi yang bersifat alamiah dan ketidakcukupan produksi ASI menyebabkan bayi kekurangan asupan nutrisi dan akan berdampak buruk pada pertumbuhan dan perkembangannya bahkan pada inteligensi bayi. Produksi ASI penting diketahui karena ASI merupakan makanan yang terbaik untuk pertumbuhan dan perkembangan bayi secara normal. Penelitian ini bertujuan melihat pengaruh status gizi ibu menyusui terhadap produksi ASI di wilayah kerja Puskesmas Tamalanrea Kota Makassar dengan desain â€œCross Sectional Studyâ€. Jumlah sampel yang diobservasi sebanyak 110 responden yang dipilih secara acak (Random Sampling) dan diuji dengan analisis data univariat dan bivariate.Hasil penelitian : menemukan distribusi persentase produksi ASI 46,4% dengan distribusi persentase status gizi 90,9%. Hasil uji bivariate ditemukan nilai p=0,364 lebih besar dari nilai Î± =0.05. Kesimpulan : status gizi ibu yang kurang tidak berhubungan dengan produksi ASI.

Penerapan Asuhan Keperawatan Pada Ibu Post Operasi Sectio Caesarea Dalam Pemenuhan Kebutuhan Aktivitas Dan Istirahat Vinny Octaviani Pakamundi; Zulfia Samiun; St. Suarniati; Nasriani
Jurnal Mitrasehat Vol. 11 No. 2 (2021): Jurnal Mitrasehat
Publisher : LPPM STIK Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51171/jms.v11i2.303

Latar Belakang : Sectio Caesarea adalah persalinan yang dilakukan dengan membuat sayatan pada dinding uterus melalui dinding depan perut. Persalinan melalui Sectio Caesarea menyebabkan adanya luka bekas operasi yang cukup besar, luka operasi ini menimbulkan nyeri dan membuat ibu khawatir untuk bergerak, sehingga ibu lebih memilih berbaring dan tidak mau melakukan mobilisasi setelah operasi. Mobilisasi sangat penting untuk ibu post SC yaitu untuk membantu proses penyembuhan luka, pengeluaran lochea juga pemulihan kekuatan ibu akan terpengaruh. Tujuan Penelitian : Memperoleh gambaran asuhan keperawatan pada ibu post operasi section caesarea dalam pemenuhan kebutuhan aktivitas dan istirahat. Metode Penelitian : Teknik pengumpulan data menggunakan instrument format pengkajian kebutuhan aktivitas dengan pemenuhan pengumpulan data menggunakan teknik wawancara dan observasi. Hasil : Setelah implementasi selama 3 hari penulis mendapatkan data subjektif yaitu klien mengatakan mampu beraktivitas secara mandiri dan nyeri pada perut dapat dikontrol. Data Objektif : klien nampak lebih rileks dan mampu melakukan aktivitas sendiri, pada mobilisasi tahap 6-10 jam pertama klien mampu menggerakan ekstremitas, dan miring kiri miring kanan hari kedua klien sudah mampu duduk, dan hari ketiga klien mampu berjalan. Kesimpulan : Setelah dilakukan tindakan pada klien selama 3 hari dengan masalah gangguan mobilitas fisik berhubungan dengan nyeri didapatkan klien mampu beraktivitas sendiri secara perlahan lahan dan defisit perawatan diri berhubungan dengan penurunan motivasi didapatkan klien mampu merawat dirinya secara mandiri. Saran : pada penerapan asuhan keperawatan ini diharapkan keluarga dapat terlibat dan membantu klien dapat beraktiviats dan merawat diri, dan pentingnya untuk mengetahui perawatan yang tepat untuk klien

Exclusive Breastfeeding with the Incidence of Stunting Nani, Nasriani; Samiun, Zulfia; Nur, Muhammad Purqan
Jurnal Ilmiah Kesehatan (JIKA) Vol. 6 No. 1 (2024): Volume 6 Nomor 1 April 2024
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v6i1.539

Stunting is one of the disorders in the growth of children affected by poor nutrition and the occurrence of recurrent infections, especially during the critical first two years of life. According to the WHO, a child is classified as stunting when his or her height relative to age exceeds the deviation standard based on the child's growth standard. The aim of this study is to identify a correlation between exclusive breastfeeding and the possibility of stunting in 12 to 60-month-old children in the Mangasa Puskesmas Working Region of Makassar City. This type of research is quantitative analytics using case control designs with a retrospective approach. The subjects in this study were 70 newspapers, consisting of 35 stunting as a treatment group (intervention) and 35 non-stopping as a control group. Univariate and bivariate analysis using chi-square tests. The results of the analyses showed that the newborn who received only milk (exclusive) but with a stunting category of 15 newborns (42,9%), while the newcomer who did not give milk exclusively and suffered stunting as much as 20 newcomers (57,1%). The result of the bivariate analysis shows that there is a correlation (relation) between giving milk only (exclusive) and the stunting condition (p-value=0,030). Research shows the need to provide education to improve mothers’ knowledge, especially in preparation for the first 1,000 days of life.

Clean Water Availability and Access to Health Services on Maternal and Child Health Status Mahmud, Ratna; Aslinda, Aslinda; Samiun, Zulfia; Mustary, Musliha; Kai, Febriyanti; Surianti, Surianti
Jurnal Ilmiah Kesehatan (JIKA) Vol. 6 No. 3 (2024): Volume 6 Nomor 3 Desember 2024
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v6i3.998

Poor nutrition during pregnancy and childhood is a bad consequence. Stunting children will never reach their peak height or have the best brain development. These children start their lives poorly; they have trouble learning in school, earn less than adults, and face obstacles to being a part of society. This research is to see the relationship between the availability of clean water and access to health services on the health status of mothers and children. This research is quantitative research using analytical observation methods with a "Cross Sectional" approach. Sampling was taken using Cluster Random Sampling with the Chi-Square statistical correlative test with a significance level of 0,05 using SPSS 24. There is a relationship between the availability of clean water and the health status of mothers and children (p-value=0,000), while access to health services does not have a significant relationship with the health status of mothers and children (p-value=0,904). The availability of clean water shows good health status for mothers and children, while access to health services does not have a significant relationship.

EDUKASI SADARI SEBAGAI UPAYA DETEKSI DINI KANKER PAYUDARA PADA GURU DAN SISWI Samiun, Zulfia; Aslinda, Aslinda; Hasanuddin, Fitria; Bachtiar, Sitti Maryam; Wulandari, Ratna; Putri, Sitti Zakiyyah; Mustary, Musliha
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 3 (2024): Juni
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i3.23415

Abstrak: Kanker payudara menjadi perhatian global karena tingginya insiden di seluruh dunia. Peningkatan kesadaran akan kanker payudara sangat penting untuk membantu perempuan berisiko mencari perawatan medis untuk penyakit tersebut. Kegiatan pengabdian kepada masyarakat ini dilakukan untuk meningkatkan pengetahuan terutama guru dan siswi mengenai cara deteksi dini kanker payudara. Sebelum kegiatan dilakukan, sosialisasi dilakukan di sekolah untuk mengetahui gambaran pengetahuan guru dan siswi di lokasi kegiatan. Kegiatan pengabdian ini dilakukan selama 2 hari, pada hari pertama dilakukan silaturrahmi antara tim pengabdian dengan mitra serta sosialisasi kegiatan, sedangkan hari kedua dilakukan edukasi bahaya kanker payudara dan simulasi/praktik SADARI pada guru dan siswi di MAS Muallimin Muhammadiyah Makassar sebanyak 25 orang yang terdiri dari 10 guru dan 15 siswi. Sebelum dan setelah edukasi dilakukan pengisian kuesioner untuk melihat distribusi frekuensi pengetahuan peserta. Hasil akhir kegiatan memperlihatkan adanya perubahan skor pengetahuan peserta dimana sebelum edukasi didapatkan skor pretest pengetahuan dengan nilai rata-rata 55, setelah edukasi didapatkan skor pengetahuan peserta dengan nilai rata-rata 73. Ini memperlihatkan bahwa adanya peningkatan pengetahuan mengenai kanker payudara dan pemeriksaan payudara secara mandiri setelah dilakukan edukasi.Abstract: Breast cancer is a global concern due to its high incidence worldwide. Increased awareness of breast cancer is essential to help at-risk women seek medical treatment for the disease. This community service activity was carried out to increase knowledge, especially teachers and female students, about how to detect breast cancer early. Before the activity was carried out, socialization was carried out at the school to find out the description of the knowledge of teachers and students at the location of the activity. This service activity was carried out for 2 days, on the first day a friendship was held between the service team and partners and socialisation of activities, while the second day was carried out education on the dangers of breast cancer and simulation / practice of SADARI for teachers and students at MAS Muallimin Muhammadiyah Makassar as many as 25 people consisting of 10 teachers and 15 students. Before and after education, a questionnaire was filled in to see the frequency distribution of participants' knowledge. The final results of the activity showed a change in the participants' knowledge score where before education the pretest knowledge score was obtained with an average value of 55, after education the participants' knowledge score was obtained with an average value of 73. This shows that there is an increase in knowledge about breast cancer and breast self-examination after education.

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