Ira Sukyati
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Journal : Buletin Kesehatan: Publikasi Ilmiah Bidang Kesehatan

Asuhan Keperawatan Pasca Partum Tindakan Sectio Caesarea Atas Indikasi Hipertensi Dalam Kehamilan Ira Sukyati; Novianti Dwi Perwitasari
Buletin Kesehatan: Publikasi Ilmiah Bidang kesehatan Vol 4 No 2 (2020): Buletin Kesehatan: Publikasi Ilmiah Bidang Kesehatan
Publisher : AKPER Pasar Rebo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (218.378 KB) | DOI: 10.36971/keperawatan.v4i2.76

Abstract

Pregnant women with gestational age of 20 weeks often experience hypertension. Some of the factors that influence the occurrence of gestational hypertension are age (> 35 years), pregnancy factors, obesity, and a history of hypertension. The mortality rate due to hypertension in pregnancy in Indonesia is increasing, namely by 27.1% in 2015 and 33% in 2018. The purpose of a case study is to find out more about nursing problems that arise so that they are able to make proper planning and prevent complications such as pre eclampsia, eclampsia, placental abruption and others. Whereas in the fetus: stunted fetal growth in the uterus, premature birth, neonatal asphyxia, and fetal death. The population in this study was a client named Ny. D is female, 42 years old with married marital status and obtaining information sources from clients and family. Based on the research data, it was found that the results of nursing problems were the risk of decreased cardiac output, acute pain associated with physical injury agents, risk of infection, activity intolerance, fatigue, and ineffective breastfeeding. Keywords: sectio caesarea, hypertension in pregnancy, nursing diagnosis.
Analisis Faktor-Faktor Yang Mempengaruhi Stress Kerja Pada Karyawan di PT XACTI Indonesia Tahun 2021 Yulia Anggraeni Hidayat Putri; Ira Sukyati; Alma Putri Febriyanti
Buletin Kesehatan: Publikasi Ilmiah Bidang kesehatan Vol 5 No 2 (2021): Buletin Kesehatan: Publikais Ilmiah Bidang Kesehatan
Publisher : AKPER Pasar Rebo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (522.435 KB) | DOI: 10.36971/keperawatan.v5i2.93

Abstract

Shift work is a system implemented by the company to increase production optimally and continuously by working 24 hours a day. In addition, to optimize the working power of industrial machines and to increase company profits, this will have a negative impact on employees, causing mental fatigue or stress. Data based on Riskesdas 2018 shows that the prevalence of severe mental disorders in the Indonesian population increased significantly compared to Riskesdas 2013 which rose from 1.7‰ to 7‰ and mental emotional disorders rose from 6% to 9.8% of the total population of Indonesia. This study aims to determine the relationship between work shifts and work stress for employees at PT Xacti Indonesia in 2021. This research is an analytical study using a cross sectional study design. Samples were taken as many as 89 people using purposive sampling technique. Measurement of work stress was measured using a health, safety and executive questionnaire. With the aim of research to find out the factors that most influence work stress, statistical tests were carried out using the Multinominal Logistics Regression test, with the results that the average respondents were mostly women (56.2%), with 1-5 years working period of 82%, and had a high level of moderate work stress by 51.7%. And the variable that has a correlation with work stress is shift work. The work shift is significant in the logit 1 function, which means that low work stress occurs in the morning work shift. The percentage value of the accuracy of all models is 53.9% which means that there are 53.9% (54%) observations can be classified correctly. With this research, it is hoped that the company can manage the work shift system better. If there are employees who have high stress levels, the company must provide input and motivations so that these employees can be more enthusiastic so that their stress levels can decrease.
Penerapan Aromaterapi Lavender Pada Ny.T Dengan Postpartum Sectio Caesarea Indikasi Preeklamsia Di Ruang Delima RSUD Pasar Rebo Jakarta Erni Ayu Wulandari; Ira Sukyati
Buletin Kesehatan: Publikasi Ilmiah Bidang kesehatan Vol. 8 No. 1 (2024): Buletin Kesehatan: Publikasi Ilmiah Bidang Kesehatan
Publisher : AKPER Pasar Rebo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36971/keperawatan.v8i1.146

Abstract

Background: Preeclampsia is the onset of hypertension with proteinuria due to pregnancy after 20 weeks of pregnancy or immediately after delivery. Objective: to apply nursing care to post-sectio caesarean patients with preeclampsia who experience pain through the application of lavender aromatherapy. Research Method: descriptive method with a case study approach accompanied by the application of evidence-based practices. Results: Nursing care is carried out on the patient girl, 39 years old, with a medical diagnosis of P4A0. The results of the study obtained four nursing problems, namely acute pain associated with physical injury agents, ineffective breastfeeding associated with lack of exposure to information, risk of bleeding associated with postpartum complications, risk of infection associated with invasive procedures. The implementation was carried out by applying progressive lavender aromatherapy 5-10 minutes with a frequency of 3x/day for three days to reduce the patient's pain level. The evaluation results showed that there was a significant decrease in the pain score from a scale of 6 to a scale of 2 on the third day. Conclusion: the application of lavender aromatherapy can be applied to post sectio caesaera patients to reduce pain. Suggestion: nurses can teach the application of lavender aromatherapy to patients and their families to reduce pain.
Penerapan Imajinasi Terbimbing (Guided Imagery) Pada Asuhan Keperawatan Postpartum Sectio Caesarea Atas Indikasi Preeklampsia Berat (PEB) Ade Putri, Maharani; Ira Sukyati
Buletin Kesehatan: Publikasi Ilmiah Bidang kesehatan Vol. 8 No. 2 (2024): Buletin Kesehatan: Publikasi Ilmiah Bidang Kesehatan
Publisher : AKPER Pasar Rebo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36971/keperawatan.v8i2.167

Abstract

Preeklampsia merupakan kelainan multiorgan spesifik pada kehamilan ditandai dengan terjadinya hipertensi, edema dan proteinuria setelah kehamilan berusia 20 minggu. Metode persalinan sectio caesarea sangat dianjurkan pada kondisi tersebut, untuk mencegah terjadinya komplikasi pada ibu dan bayi. Dampak tindakan operasi sectio caesarea yaitu terdapat nyeri daerah luka pembedahan pasca operasi. Tujuan penelitian yaitu menerapkan asuhan keperawatan dan teknik relaksasi imajinasi terbimbing (guided imagery) pada pasien postpartum sectio caesarea atas indikasi preeklampsia berat (PEB) dengan pendekatan proses keperawatan komprehensif yang dilakukan untuk mengurangi intensitas skala nyeri. Penelitian ini menggunakan metode deskriptif dengan pendekatan studi kasus disertai penerapan EBN. Asuhan keperawatan dilakukan pada seorang ibu (32 tahun) dengan diagnosa medis preeklampsia berat (PEB). Terdapat delapan masalah keperawatan yaitu risiko perdarahan, risiko perfusi serebral tidak efektif, nyeri akut, menyusui tidak efektif, gangguan mobilitas fisik, risiko gangguan perlekatan, risiko infeksi dan defisit pengetahuan. Penerapan EBN pada kasus yaitu melakukan teknik relaksasi imajinasi terbimbing (guided imagery) selama 3 hari (1 kali sehari dengan durasi 10 menit) untuk menurunkan intensitas nyeri. Hasil evaluasi didapatkan penurunan intensitas skala nyeri dari skala 6 (sedang) menjadi 2 (ringan) pada implementasi hari ketiga. Disimpulkan, perawat dapat mengajarkan teknik relaksasi imajinasi terbimbing (guided imagery) pada pasien dan keluarga untuk menurunkan intensitas nyeri