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Journal : KIAN Journal

Effectiveness of Oxytocin Massage in Spontaneous Post Partum Mothers to Increase Breast Milk Production Roslianti, Elis; Nalaratih, Ayu; Oktriani, Herni; Fitriani, Ade; Lismayanti, Lilis; Ridla Fauzi, Aulia
KIAN JOURNAL Vol 1 No 1 (2022): KIAN JOURNAL
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (763.071 KB) | DOI: 10.56359/kian.v1i1.168

Abstract

Objective: To determine the effectiveness of oxytocin massage on postpartum mothers to increase lactation. Method: The method used is a descriptive design in the form of a case study with a maternity nursing care process approach which includes assessment, diagnosis, planning, implementation and evaluation. The subjects used in this study were clients who had problems with ineffective breastfeeding in  Lotus Room 2 BLUD Banjar City General Hospital. This data collection technique includes interviews, observations, physical examinations and documentation studies. Result: Evaluation of the administration of oxytocin massage therapy on the issue of breastfeeding is proven in clients who routinely do oxytocin massage after 4 days of increased milk production, marked by how often the baby is breastfed and how long he sleeps after being breastfed. Conclusion: Oxytocin massage therapy has been proven to be effective for smoothing and increasing the production of the hormones oxytocin and prolactin, which function to smooth out breast milk.
Case Study of Deep Breath Relaxation Intervention to Reduce Chronic Pain Scale in Post-Brachial Tumor Surgery Patients Nurhidayat, Rizki; Fitriani, Ade; Hidayat, Nur
KIAN JOURNAL Vol 2 No 1 (2023): KIAN JOURNAL (March 2023)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (750.537 KB) | DOI: 10.56359/kian.v2i1.236

Abstract

Objective: This case study was conducted to describe deep breathing relaxation. intervention in reducing the pain scale in postoperative clients of brachial tumors. Method: This exploration uses an expressive contextual investigation plan with a nursing care approach. with participants based on inclusion and exclusion criteria. Gather information through interviews, perceptions, actual assessments, and documentation evidence-based practice focused on nursing interventions. The research was conducted at the BLUD RSU Banjar City on 27-31 May 2022. The participants in this study were Mr. W's client, 61 years old, male, complaining of postoperative pain. The process of assessment and diagnosis is focused on the main problem. Objective and subjective data become a reference for periodic evaluations of nursing implementation. Results: The results obtained from the nursing process which consisted of assessment, nursing diagnoses, interventions, implementation and evaluation for 4 days starting May 27-31 2022 the authors took one of the nursing diagnoses, namely pain, therefore the intervention carried out was deep breathing. Relaxation techniques to reduce pain, pain scale in postoperative brachial tumor patients with the result of reducing the pain scale from a pain scale of 5 to 2 pain scale. Conclusion: Deep breathing relaxation intervention after the researcher carried out nursing care for Mr. W Pain Diagnosis there is a significant decrease in pain scale. To maintain the conditions that have been achieved, it is hoped that the role of Mr. W's family is to be able to follow the treatment thoroughly for the client's recovery and as an effort to prevent complications of diseases associated with brachial tumors.
Foot Exercise Implementation in a Patient with Physical Mobility Impairment due to Diabetes Mellitus Aulia, Adinda; Fitriani, Ade; Hamdani, Dadi
KIAN JOURNAL Vol 3 No 1 (2024): KIAN JOURNAL (March 2024)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v3i1.551

Abstract

Introduction: : Diabetes Mellitus (DM) is a non-communicable disease that continues to show an increase globally, including in Indonesia. According to WHO data in 2016, as many as 422 million adults in the world have diabetes. This disease is caused by insulin deficiency, either relatively or absolutely, and often causes complications such as peripheral neuropathy which causes decreased sensation in the feet. One of the steps to prevent these complications is through foot exercises. Foot exercises are special physical exercises for diabetics that aim to prevent wounds, improve blood flow, strengthen small muscles in the feet, and prevent deformities due to nerve disorders and muscle weakness. Objective: This case study aims to implement foot exercises in patients with impaired physical mobility with diabetes mellitus. Method: This research uses a descriptive method in the form of a case study with a nursing approach which includes assessment, nursing diagnosis, nursing care plan, nursing implementation, and nursing evaluation. Data collection was done by interview, observation, physical examination, and documentation. Result: After the assessment, it is known that Mrs.D obtained a nursing diagnosis of impaired physical mobility associated with decreased muscle strength with diagnosis number D.0054, after being given implementation in the form of foot exercises for 3 days with a duration of 5-7 minutes a day, the nursing problem of impaired physical mobility of the client is partially resolved which is characterized by increased muscle strength with muscle strength values on the right lower extremity 4 and the left 5. Conclusion: The implementation of foot exercises has proven to be useful for reducing movement limitations and increasing muscle strength in all extremities, the benefits of this foot exercise will be maximized if done gradually and periodically.
Implementation Of Wound Care Education In A Diabetic Ulcer Patient With Knowledge Deficits Oktavianti, Riska Fitri; Fitriani, Ade; Lismayanti, Lilis
KIAN JOURNAL Vol 4 No 1 (2025): KIAN JOURNAL (March 2025)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v4i1.553

Abstract

Background: Diabetes mellitus is a metabolic disease that can cause various complications, one of which is diabetic ulcers. These ulcers occur due to impaired circulation and peripheral neuropathy which causes wounds to heal. In an effort to manage diabetic ulcers, an educational approach is needed to increase patient awareness of the importance of proper wound care and infection prevention efforts. Nursing education plays an important role in helping patients understand the relationship between uncontrolled blood glucose levels and the impaired wound healing process. Increased patient understanding is expected to encourage behavioral changes in self-care and improve compliance with medical recommendations. Objectives: This case study aims to evaluate the implementation of wound care education with impaired knowledge deficits in diabetic ulcer patients through a nursing approach. This research method is in the form of a case study using a descriptive Method: with a research design using a nursing care approach which includes assessment, nursing diagnosis, nursing intervention, nursing implementation, nursing evaluation which is carried out for 3 meetings at the patient's home in the rose ray neighborhood, RT. 001 RW. 008, cigembor village, ciamis sub-district Results: After implementing education for three meetings, the results showed that the client's understanding of wound care had increased. The client showed the ability to recite the correct wound care steps, recognize signs of infection, and understand the importance of controlling blood glucose levels in accelerating wound healing. The family also began to play an active role in assisting the wound care process at home. Conclusion: The implementation of wound care education can improve client knowledge and skills in caring for diabetic ulcers to prevent infection. This education can be an important part of promotive and preventive nursing interventions to support the wound healing process and prevent further complications.
Implementation of Modern Wound Care Hydrogel Dressing in Patients with Diabetic Ulcers Haerani, Salsya; Fitriani, Ade; Hamdani, Dadi
KIAN JOURNAL Vol 3 No 1 (2024): KIAN JOURNAL (March 2024)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v3i1.554

Abstract

Background: Diabetes mellitus is a chronic metabolic disease that can cause various complications, one of which is diabetic ulcers. These ulcers occur due to impaired circulation and peripheral neuropathy, which causes wounds to be difficult to heal and increases the risk of amputation. One method of wound management that has proven effective in accelerating the healing of diabetic ulcers is the use of modern hydrogel dressings. Hydrogel functions as a moist dressing that is able to maintain optimal moisture in the wound area, accelerate the process of autolysis of necrotic tissue, and stimulate the growth of granulation tissue. With a moist and protected wound environment, the process of tissue regeneration is more effective and infection can be minimized. Objective: This case study is to evaluate the effectiveness of using modern hydrogel dressing as a moist dressing in accelerating wound healing in patients with diabetic ulcers through a nursing care approach. Methods: This research is a case study with a descriptive method, using a nursing care approach that includes assessment, nursing diagnosis, intervention, implementation, and evaluation. The patient's house is located in the Sinar Mawar Neighborhood Hamlet, RT.001 RW.008, Cigembor Village, Ciamis District. Nursing diagnoses refer to (SDKI), interventions based on (SIKI), and evaluation based on (SLKI), and all documentation is compiled using the SOAPIER method. Results: Interventions were carried out on one patient with grade 4 diabetic ulcers. Wound care using hydrogel as a moist dressing was performed for 3 visits. Wound evaluation was carried out using the Bates-Jensen Wound Assessment Tool as well as real-time blood sugar (GDS) checks. Results showed a decrease in wound score from 45 to 38, and a decrease in GDS from 518 mg/dl to 269 mg/dl. There were significant changes in the wound tissue, such as the reduction of slough tissue and the formation of healthy granulation tissue. Conclusion: The use of modern hydrogel dressing as a moist dressing in accelerating diabetic ulcer wound healing. This implementation can be an option for modern non-pharmacological wound care therapy that can be applied at home with a holistic nursing approach.
Implementation of Nutrition Education Toward Controlling Blood Glucose Levels of Diabates Mellitus (DM) Patients Azahra, Tarisa; Fitriani, Ade; Hidayat, Nur
KIAN JOURNAL Vol 4 No 1 (2025): KIAN JOURNAL (March 2025)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v4i1.555

Abstract

Background: Diabetes mellitus (DM) is a metabolic disorder with multiple etiologies characterized by blood sugar levels exceeding normal limits. The prevalence of DM continues to increase globally, nationally, and locally, including in the working area of the Cigembor Community Health Center, Ciamis Regency. The primary issue identified is non-compliance with dietary recommendations due to low nutritional literacy and the absence of effective and sustained education. The intervention implemented is structured nutritional education aimed at fostering healthy eating behaviors to control blood glucose levels and prevent complications. Objective: This study aims to implement the nursing process with a focus on the structured, continuous, and patient-centered implementation of nutrition education in controlling blood glucose levels in DM patients. Method: This study used a descriptive method with a case study design through a nursing care approach, starting from assessment, formulating diagnoses, planning, implementing nutrition education to control blood glucose levels in patients with diabetes mellitus, and evaluation. Results: After three days of education, it was found that patients with diabetes mellitus who complained of dizziness, fatigue, decreased appetite, and high blood glucose levels were diagnosed with unstable blood glucose levels, with a focus on the implementation of nutrition education. Evaluation results showed a decrease in blood glucose levels to 213 mg/dL, improved appetite, and reduced complaints of dizziness. Conclusion: The implementation of nutrition education has proven effective in controlling blood glucose levels and improving patients' nutritional status.
Implementation of Aloe Vera for Wound Care in Post Op Amputation Patients with Diabetes Mellitus Yuniar, Tarisa; Fitriani, Ade; Lismayanti, Lilis
KIAN JOURNAL Vol 3 No 1 (2024): KIAN JOURNAL (March 2024)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v3i1.556

Abstract

Introduction: Diabetes mellitus is a chronic metabolic disease that can cause serious complications such as impaired wound healing. One of the severe complications is amputation, which requires optimal wound care to prevent infection and accelerate tissue regeneration. Aloe vera is known to have anti-inflammatory, antibacterial, and stimulating tissue regeneration effects. Objective: This study aims to implement the use of aloe vera gel in wound care in postoperative amputation patients with diabetes mellitus. Method: The study used a descriptive case study approach that focused on the nursing care process and the use of aloe vera gel as a nonpharmacological therapy in wound care. Result: After administering aloe vera gel for 3 meetings, the results showed that the wound looked more moist, increased hydration, sufficient exudate, and complete epithelialization without signs of infection. This intervention is effective in addressing skin/tissue integrity disorders. Conclusion: Aloe vera gel is proven to be effective in helping the wound healing process in postoperative amputation patients with diabetes mellitus and can be an alternative nursing implementation.
Implementation Of Autogenic Relaxation Techniques to Reduce Pain Scale in Patients With Abdominal Colic Fauziyyah, Aziizah Nuur; Fitriani, Ade; Purwati, Ayu Endang
KIAN JOURNAL Vol 4 No 2 (2025): KIAN JOURNAL (September 2025)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v4i2.563

Abstract

Background: Abdominal colic brings up symptoms of pain that arise and disappear that can interfere with patient comfort, abdominal colic pain is usually accompanied by changes in pulse because the pain is very painful, and causes patients to pay less attention to the conditions around them because patients focus mainly on pain. Therefore, it takes effective treatment to overcome this pain, one of which is non-pharmacological techniques, researchers use autogenic relaxation techniques. Autogenic relaxation technique is a relaxation technique that comes from oneself using short sentences to make the mind calm and comfortable, it can also be called hypnosis to divert pain. Objective: This study is to implement autogenic relaxation techniques to overcome pain. Methods: This case study uses a descriptive method that aims to explore the problem, provide an overview of the case study and analyze more deeply about nursing care by implementing autogenic relaxation techniques to reduce the pain scale in patients with abdominal colic. Results: After implementing autogenic relaxation techniques to reduce the pain scale in patients with abdominal colic for 3 days in the Dahlia room BLUD RSU Kota Banjar, it was proven effective to reduce the pain scale from a scale of 8 to 2, overcome pain, patients said the pain decreased, and seen from the grimace facial expression decreased. Conclusion: the implementation of autogenic relaxation techniques has proven to be effective and very influential to overcome the problem of acute pain in patients with abdominal colic, so that it can be used as nursing care for these patients.