Nelly Rustiati
Program Studi D-III Keperawatan Baturaja, Poltekkes Kemenkes Palembang

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PENINGKATAN KUALITAS HIDUP PASIEN TUBERKOLOSIS DENGAN HIPERSENSITIVITAS OAT MELALUI TERAPI INTEGRATIF: A CASE REPORT Ni Ketut Sujati; Laila Fadhilah; Nelly Rustiati; Lisdahayati Lisdahayati; M Agung Akbar
Menara Medika Vol 8, No 2 (2026): VOL 8 NO 2 MARET 2026
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v8i2.7374

Abstract

Pendahuluan: Tuberkulosis (TB) merupakan penyakit infeksi kronis yang masih menjadi masalah kesehatan global dengan angka kejadian tinggi dan munculnya resistensi terhadap obat anti-tuberkulosis (OAT). Penggunaan OAT jangka panjang sering menimbulkan reaksi hipersensitivitas yang dapat menurunkan kepatuhan terapi dan kualitas hidup pasien. Pendekatan terapi integratif melalui kombinasi akupunktur, herbal, fisioterapi, dan modifikasi diet diharapkan dapat mengurangi efek samping OAT dan mempercepat pemulihan. Tujuan: Penelitian ini bertujuan untuk menganalisis efektivitas penerapan terapi integratif terhadap peningkatan kualitas hidup pasien tuberkulosis dengan hipersensitivitas terhadap OAT. Metode: Penelitian ini menggunakan desain laporan kasus (case report) pada satu pasien perempuan berusia 25 tahun dengan diagnosis TB paru aktif dan hipersensitivitas OAT. Intervensi dilakukan selama empat bulan melalui kombinasi akupunktur, terapi herbal (Yue Hua Wan, yin chai Hu, Chaihu Shu Gan, dan Kencur), fisioterapi dada, serta modifikasi diet berbasis “Isi Piringku”. Pemantauan dilakukan terhadap gejala klinis, berat badan, tekanan darah, dan hasil pemeriksaan GeneXpert. Hasil: Setelah empat bulan intervensi, pasien mengalami peningkatan berat badan dari 35 kg menjadi 43 kg, perbaikan nafsu makan, kualitas tidur, serta penurunan gejala gastrointestinal tanpa efek samping tambahan. Hasil GeneXpert menunjukkan MTB not detected, menandakan keberhasilan eradikasi infeksi. Kesimpulan: Terapi integratif efektif dalam mengurangi reaksi hipersensitivitas OAT, meningkatkan status fungsional, dan memperbaiki kualitas hidup pasien. Pendekatan ini menunjukkan sinergi positif antara pengobatan tradisional dan terapi medis konvensional. Saran: Penelitian lanjutan dengan desain uji klinis terkontrol diperlukan untuk menilai efektivitas jangka panjang dan mengembangkan panduan praktik terapi integratif pada pasien tuberkulosis dengan hipersensitivitas obat.
Combination of Breast Care and Acupressure Interventions to Increase Milk Production and Breast Care in Breastfeeding Mothers Eni Folendra Rosa; Aisyah Aisyah; Dina Oktavia; Nelly Rustiati
Lentera Perawat Vol. 6 No. 1 (2025): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i1.410

Abstract

Breast milk is the optimal method to fulfil the nutritional needs of infants for optimal growth and development. However, limited milk production and ejection in the first days after delivery is often a barrier to exclusive breastfeeding. Breast engorgement in breastfeeding mothers is also a common challenge, which can hinder breastfeeding. This study used a case study design with a nursing process approach. The subjects were two breastfeeding mothers over 25 years old who experienced breast engorgement. The interventions provided included a combination of breast care and acupressure, which was carried out for four consecutive days with a duration of 20-30 minutes per session. Data were collected through observation, interview, and cheque sheet. The results showed a significant decrease in the intensity of breast engorgement and an increase in milk production in both subjects. In client I, the frequency of breastfeeding increased from 5 times to 9 times per day, and the frequency of baby's BAK increased from 5 times to 7 times per day. In client II, the frequency of breastfeeding increased from 6 times to 10 times per day, and the frequency of baby's BAK increased from 5 times to 7 times per day. Both clients reported decreased pain and increased comfort while breastfeeding. The combination of breast care and acupressure intervention is effective in overcoming the problem of breast engorgement and increasing milk production in breastfeeding mothers. The researcher suggested the combination of breast care and acupressure as part of breast care management in breastfeeding mothers.