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All Journal NERSMID: Jurnal Keperwatan dan Kebidanan Universitas Muhammadiyah Yogyakarta Undergraduate Conference Proceeding Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan
Al-Afik
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Agriculture, Biological Sciences & Forestry Civil Engineering, Building, Construction & Architecture Economics, Econometrics & Finance Education Health Professions Neuroscience Nursing Public Health Social Sciences Veterinary

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Manajemen Asuhan Keperawatan Kegawatdaruratan dengan Nyeri dan Resiko Perdarahan Leukemia Limfoblastik Akut Karifo, Martha; Al-Afik
Proceedings of Universitas Muhammadiyah Yogyakarta Graduate Conference Vol. 2 No. 2 (2023): Strengthening Youth Potential for Sustainable Innovation
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/umygrace.v2i2.441

Abstract

Pendahuluan – Leukemia Limfoblastik Akut (LLA) adalah penyakit kanker darah abnormal yang sering menyebabkan kematian, fenomena pasien LLA di dunia ada sekitar 74% penyebab kematian pada anak di Indonesia sendiri setiap tahunnya selalu mengalami peningkatan kasus LLA sebanyak 2,5 - 4,0 per 100.000 anak dengan perkiraan 2000-3.200 kasus masuk di IGD memiliki masalah utama terkait rasa nyeri dan resiko perdarahan. Tujuan – studi kasus ini dilakukan untuk melakukan asuhan keperawatan gawat darurat secara langsung terkait manajemen nyeri non farmakologi dan intervensi transfusi darah pada pasien resiko perdarahan. Metodologi – Metode yang digunakan yaitu asuhan keperawatan gawat darurat secara langsung terkait manajemen nyeri non farmakologi dan intervensi transfusi darah pada pasien resiko perdarahan selama 1x8 jam dengan pengambilan data primer peneliti mengumpulkan data secara langsung, dari pengkajian, analisa data, rencana keperawatan, implementasi yang diterapkan sampai tahap evaluasi. Hasil – setelah dilakukan implementasi secara langsung mengenai manajemen nyeri teknik non farmakologi tarik nafas dalam dan penerapan posisi kepala lebih tinggi sekitar 45o pasien mengungkapkan rasa nyeri berkurang dari skala 7 menjadi skala 5 dan pemberian transfusi darah 1 unit PRC meningkatkan kembali nilai Hb yang turun dari 8.9 g/dL menjadi 9.5 g/ dL. Implikasi – efektivitas penerapan manajemen nyeri dan transfusi 1 unit PRC menghasilkan perubahan skala nyeri dari skala 7 menjadi skala 5, dan kenaikan hb dari 8.9 g/dL menjadi 9.5 g/ dL, studi kasus ini dapat diaplikasikan tenaga kesehatan lain dan dapat dikembangkan lebih lanjut untuk peneliti berikutnya.
Pengaruh Pemberian Posisi Head Up 30° Terhadap Tingkat Kenyamanan Pasien Cedera Kepala Di Ruang Instalasi Gawat Darurat RSUD Tidar Kota Magelang: Case Report Muh. Ihya Alimuddin; Al-Afik; Cipto Wahyuning Utama
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 2 No. 2 (2024): Juni : Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v2i2.394

Abstract

Background: Head injury is a pathophysiological event that occurs after trauma to the head which can cover every part of the head consisting of the scalp, bones and brain tissue or all the organs in the head. Objective: To determine the effect of providing Head Up 30⁰ position on the comfort level of head injury patients. Method: The method in this research is to use a case report with the nursing intervention of providing a Head Up 30⁰ position to the comfort level of head injured patients, carried out for 4 observations every 15 minutes. Results: From the results of the research, nursing intervention was carried out, namely by providing Head Up 30⁰ position for 4 observations every 15 minutes. The results showed that there was a change in comfort level before and after Head Up 30⁰ position was carried out. Conclusion: Based on the results of research conducted by researchers regarding the effect of providing Head Up 30⁰ position on the comfort level of head injury patients in instalation emergency RSUD Tidar, Magelang City obtained from the results of case study research through intervention, it can be concluded that  Head Up 30⁰ therapy has an effect on changes. comfort level of mild to moderate head injury patients with changes in oxygen saturation values increasing, intracranial pressure decreasing, and pain scale decreasing.    
Pemberian Posisi Semi-Fowler Untuk Meningkatkan Saturasi Oksigen Pasien Congestive Heart Failure Di ICU RSUD Tidar Magelang Muhammad Iqbal Rahmawan; Al-Afik; Enggar Rubidiyani
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 2 No. 2 (2024): Juni : Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v2i2.402

Abstract

Congestive Heart Failure (CHF) is a condition where the heart function is disturbed and is unable to pump enough blood that causes the heart to not provide oxygen to meet the needs of the tissue so that the patient experiences shortness of breath or dyspnea. Objective: To implement a nursing intervention for providing a Semi-fowler position to increase the oxygen saturation on the Congestive Heart Failure patient with dyspnea. Method: This study was a case report (case report) with nursing intervention providing Semi-fowler position, was carried out for 3 times on different days. Results: The oxygen saturation before granted a semi-fowler position on the first and second observations were 94% then on the third observations were 95%. Later after 3 times provided a semi-fowler position, the oxygen saturation up to 98% at the first-time observation and 99% at the second and on the third observation. Conclusion: there is an increase in oxygen saturation on the Congestive Heart Failure patient with dyspnea after 2 times given a semi-fowler position on a different day.
Efektivitas Pain Assement Tool (PAT) Pada Pasien Dengan Penurunan Kesadaran Di Ruang Intensive Care rahmawati, choiri rahmawati; Al-Afik; Maryadi
NERSMID : Jurnal Keperawatan dan Kebidanan Vol. 8 No. 2 (2025): Oktober
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55173/nersmid.v8i2.252

Abstract

Intensive Care Unit is a treatment room for patients in critical condition with a high risk of death, so intensive and continuous monitoring is needed. Patients in critical condition require close monitoring and intensive therapy, so it is not uncommon for patients in intensive care to experience pain. Pain assessment in the intensive care unit is challenging, especially in patients who are receiving analgo-sedatives, are unconscious, and using ventilators. The purpose of this study was to determine the effectiveness of the pain assessment tool (PAT) in patients with decreased consciousness in the intensive care unit. This study used a descriptive survey research design with a cross-sectional approach. The sample in this study was 13 respondents. The instrument used in this study was the Critical Care Pain Observation Tool (CPOT). The data analysis technique used was univariate data analysis. The results of the study showed that the majority of respondents experienced moderate pain during rest as many as 10 (76.9%) and when nursing actions were carried out severe pain as many as 8 (61.5%).
Co-Authors Cipto Wahyuning Utama Enggar Rubidiyani Karifo, Martha Maryadi Muh. Ihya Alimuddin Muhammad Iqbal Rahmawan rahmawati, choiri rahmawati