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ASUHAN KEPERAWATAN PADA TN. S DENGAN PENERAPAN FOOT ELEVATION TERHADAP PENURUNAN DERAJAT EDEMA PADA PASIEN CONGESTIVE HEART FAILURE DI RSUD ARIFIN ACHMAD PEKANBARU Zanisa, Intan; Yenny Safitri; Rian; Dewi Sulastri Juwita
Jurnal Spektrum Kesehatan Indonesia Vol. 1 No. 3 (2025): Volume 1 Nomor 3, November 2025
Publisher : El-Emir Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63477/(juski).v1i3.398

Congestive Heart Failure (CHF) is a major risk factor for leg edema. Edema can occur because blood accumulates in the feet, ankles and soles of the feet. The aim of this research is to determine the effect of 30° foot elevation on reducing the degree of lower extremity edema in Mr. S, who was medically diagnosed with Congestive Heart Failure (CHF), in the Krisan Room of Arifin Achmad Hospital, Pekanbaru, in 2025. This research is a quasi-experimental study conducted from May 15–17, 2025, with a sample of 1 respondent at Arifin Achmad Hospital, Pekanbaru. The results showed that the administration of 30° foot elevation had an effect in nursing care for Mr. S to reduce lower extremity edema, namely reducing from edema grade 3 to edema grade 2. Recommendation: It is expected that clients and families will always pay attention to their health condition and perform independent care by using 30° foot elevation if edema occurs.

ASUHAN KEPERAWATAN PADA NY. S DENGAN TB PARU DI RUANG ISOLASI RSUD BANGKINANG IQROMIL HADI; Yenny Safitri
Jurnal Spektrum Kesehatan Indonesia Vol. 1 No. 3 (2025): Volume 1 Nomor 3, November 2025
Publisher : El-Emir Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63477/(juski).v1i3.401

Pulmonary tuberculosis (TB) is one of the infectious diseases that remains a major challenge in public health, caused by Mycobacterium tuberculosis and spreads through sputum droplets when the patient coughs or sneezes. Based on data from RSUD Bangkinang in 2024, the number of pulmonary TB cases remains high, particularly in the isolation ward. This study aims to describe the nursing care process provided to Mrs. S, a patient with pulmonary TB treated in the isolation room of RSUD Bangkinang. The method used is a case study approach covering assessment, nursing diagnosis, planning, implementation, and evaluation. The assessment revealed complaints such as productive cough, chest pain during coughing, and sleep disturbances due to nighttime coughing. The nursing diagnoses included ineffective airway clearance, acute pain, and disturbed sleep pattern. Interventions based on the Indonesian Nursing Intervention Standards (SIKI) were implemented, including airway management, pain management, and sleep support. Implementation was carried out over three days with periodic evaluation. The results showed improvement in the patient's condition, including reduced coughing, decreased chest pain, and better sleep quality. Based on the findings, it is expected that the patient and her family can continue independent care at home and maintain health status. Family support plays a vital role in the patient's recovery process from pulmonary TB.

ASUHAN KEPERAWATAN PADA NY.F DENGAN GASTRITIS DI RUANG PEJUANG RSUD BANGKINANG Lisna, Lisna Ariani; Yenny Safitri
Jurnal Spektrum Kesehatan Indonesia Vol. 1 No. 3 (2025): Volume 1 Nomor 3, November 2025
Publisher : El-Emir Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63477/(juski).v1i3.402

Gastritis adalah peradangan pada mukosa lambung yang disebabkan oleh faktor iritasi dan infeksi. Penyebab gastritis diawali dengan pola makam yang tidak teratur, makan makanan yang dapat memicu produksi asam lambung. Penelitian studi kasus ini bertujuan untuk melakukan asuhan keperawatan pada Ny. F dengan gastritis di ruangan pejuang RSUD Bangkinang tahun 2025. Desain penelitian ini adalah studi kasus yang meliputi pengkajian, diagnosa keperawatan, intervensi, implementasi dan evaluasi. Pengumpulan data dilakukan dengan sistem wawancara, observasi dan pemeriksaan fisik. Hasil penelitian menunjukkan bahwa Ny. F mengalami nyeri akut, defisit nutrisi dan intoleransi aktivitas. Dalam intervensi yang dilakukan identifikasi lokasi, frekuensi dan intensitas nyeri, identifikasi skala nyeri, ajarkan cara relaksasi nafas dalam untuk mengurangi rasa nyeri, anjurkan klien makan dengan porsi sedikit tapi sering, dan anjurkan klien tirah baring. Pelaksanaan tindakan keperawatan disesuaikan dengan intervensi dan kondisi klien. Pada tahap evaluasi dapat disimpulkan bahwa nyeri sudah berkurang, nafsu makan meningkat dan sudah menghabiskan lebih dari ½ porsi, dan mengatakan badannya sudah lebih segar dan masalah pada Ny. F pada hari ketiga teratasi. Hasil penelitian ini diharapkan memberikan penjelasan bagi penderita gastritis tentang hal yang menyebabkan terjadinya gastritis sehingga penyakit gastritis tidak terulang lagi.

PEMBERIAN TERAPI INHALASI LAVENDER UNTUK MENURUNKAN INTENSITAS NYERI NY.E PASCA OPERASI Ca MAMMAE DI RUANG DAHLIA RSUD ARIFIN ACHMAD TAHUN 2025 Yudia, Yudia Sari; Yenny Safitri; Riani
Jurnal Spektrum Kesehatan Indonesia Vol. 1 No. 3 (2025): Volume 1 Nomor 3, November 2025
Publisher : El-Emir Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63477/(juski).v1i3.403

Pasien yang berada pada periode post operasi akan merasakan nyeri ataupun tidak nyaman,nyeri post operasi terjadi karena adanya proses inflamasi yang dapat merangsang reseptor nyeri sehingga dapat melepaskan zat kimia berupa histamin,bradikimin,prostaglandin yang dapat menimbulkan nyeri post operasi.Tujuan karya ilmiah ini untuk Pemberian Terapi Inhalasi Lavender Untuk Menurunkan Intensitas Nyeri Ny. E Pasca Operasi CA Mammae Di ruang Dahlia RSUD Arifin Achmad Tahun 2025. Pada saat pengkajian mengeluhkan nyeri pada bagian payudara kiri dan kanan terasa seperti ditususk-tusuk, nyeri terasa hilang timbul ,saat ini pasien mengatakan badan terasa lemas. Hasil pemeriksaan TTV didapatkan 104/67 mmHg, Nadi: 58x/menit, RR: 20x/menit, Suhu: 36,5ºC. TB: 156 cm. BB: 50 kg. Setelah operasi pasien mengatkan nyeri yaitu P : nyeri disebabkan karena adanya luka pada payudara kiri dan kanan, Q: nyeri seperti tertusuk - tusuk, R: Pasien mengatakan nyeri pada payudara post operasi, S: skala nyeri 8 sebelum dilakukan tindakan, T: nyeri hilang timbul. Implementasi yang di lakukan peneliti pada masalah Ny.E adalah Pemberian Terapi Inhalasi Lavender. Dari analisa kasus pada pasien didapatkan adanya penurunan skala nyeri, setelah dilakukan intervensi keperawatan selama 3 hari didapatkan penurunan skala nyeri dari skala nyeri 8 ( skala nyeri berat) ke skala nyeri 3 ( skala nyeri ringan). Di harapkan bagi Ny.E untuk menerapkan Terapi Inhalasi Lavender jika terjadi nyeri.

ASUHAN KEPERAWATAN PADA TN. H DENGAN PNEMONIA DI RSUD BANGKINANG nurasikin; Yenny Safitri; Ridha Hidayat; Muhammad Nizar Syarif Hamidi
Jurnal Spektrum Kesehatan Indonesia Vol. 1 No. 3 (2025): Volume 1 Nomor 3, November 2025
Publisher : El-Emir Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63477/(juski).v1i3.406

Pneumonia is a lower respiratory tract infection characterized by inflammation of the lung tissue due to bacterial, viral, fungal, or aspiration of foreign substances. This disease is one of the main causes of morbidity and mortality, especially in the elderly. This case study aims to provide a comprehensive overview of the implementation of nursing care for pneumonia patients treated in the isolation room of Bangkinang Regional Hospital in 2025. The approach used is the nursing process method which includes assessment, determination of nursing diagnosis, planning, implementation, and evaluation. The subject of the study was a 61-year-old male patient with the main complaint of coughing up phlegm accompanied by blood, shortness of breath, fever, and weakness. Based on the results of the assessment and supporting examinations, several nursing diagnoses were determined, including: ineffective airway clearance, hyperthermia, activity intolerance, ineffective breathing patterns, and risk of nutritional deficit. Nursing interventions were carried out in accordance with the Indonesian Nursing Intervention Standards (SIKI). Evaluation showed an improvement in the patient's condition after nursing actions were carried out for three days. This study emphasizes the importance of systematic and continuous nursing care to improve the health status of pneumonia patients.

ASUHAN KEPERAWATAN PADA NY.F DENGAN DIABETES MELLITUS TIPE 2 DI RUANG PEJUANG RSUD BANGKINANG ulfa, mariaulfa; Yenny Safitri; Nila Kusumawati; Indrawati
Jurnal Spektrum Kesehatan Indonesia Vol. 1 No. 3 (2025): Volume 1 Nomor 3, November 2025
Publisher : El-Emir Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63477/(juski).v1i3.409

Diabetes mellitus (DM) is a chronic disease characterized by a significant increase in blood glucose levels. This condition is caused by a deficiency of the hormone insulin or impaired insulin function in glucose metabolism. Signs and symptoms of diabetes mellitus include polyuria, polydipsia, polyphagia. The aim of this research is to examine and implement nursing care for patients with type II diabetes mellitus in the fighting room at Bangkinang Regional Hospital in 2025. This research method uses a descriptive research design in the form of a case study. Subjective in the case report is Mrs. During the assessment, the client feels weak, has no appetite, stomach ache, has nausea and vomiting, has a headache, and urinates frequently. Researchers formulated the main problem with the nursing diagnosis of blood glucose instability related to hyperglycemia (D.0027). The intervention given is monitoring blood glucose levels. In implementing nursing actions for Mrs.F with type II diabetes mellitus, they were carried out according to the nursing plan that had been prepared. The result of a three-day nursing visit to the client was that the problem was resolved. Nursing evaluation for three days on this client as a guide for researchers: as a goal for conducting research on Diabetes Mellitus, campus: as a reference in providing nursing care to patients.

HUBUNGAN KEPATUHAN KONTROL BEROBAT DENGAN TEKANAN DARAH PADA PASIEN HIPERTENSI DI UPT PUSKESMAS TAMBANG Claudia, Lara; Yenny Safitri; Rizki Rahmawati Lestari; Ridha Hidayat
Jurnal Spektrum Kesehatan Indonesia Vol. 1 No. 3 (2025): Volume 1 Nomor 3, November 2025
Publisher : El-Emir Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63477/(juski).v1i3.411

Hypertension is one of the major non-communicable diseases and a leading cause of death worldwide. The management of hypertension requires medication and regular blood pressure monitoring; however, patient adherence remains low. This study aimed to determine the relationship between treatment adherence and blood pressure control among hypertensive patients at UPT Puskesmas Tambang. The research employed a quantitative approach with a cross-sectional design. A total of 33 respondents were selected using accidental sampling. Data were collected through medical records and patients’ blood pressure measurements. The results showed that most patients were non-adherent to treatment (66.6%) and had uncontrolled blood pressure (72.7%). Fisher’s Exact Test yielded a p-value of 0.681 with a POR of 0.48, indicating no significant relationship between treatment adherence and blood pressure control. Nevertheless, adherent patients had a lower likelihood of experiencing uncontrolled blood pressure compared to non-adherent patients. It is recommended that healthcare providers enhance education and motivation for patients to regularly attend follow-up visits and comply with prescribed therapy. Hypertensive patients are also advised to adopt a healthy lifestyle to support treatment effectiveness.

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