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All Journal Jendela Nursing Journal (JNJ) JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Owner : Riset dan Jurnal Akuntansi Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Literasiologi Jurnal Keperawatan Raflesia COMMENT: Journal of Community Empowerment JOURNAL OF Qualitative Health Research & Case Studies Reports JOURNAL OF Mother and Child Health Concerns Jurnal Akademik Pengabdian Masyarakat Journal Healthcare Education Holistik Jurnal Kesehatan Strength : Jurnal Penelitian Teknik Mesin The International Journal of Studies in Social Sciences and Humanities (IJOSSH)
Ardiansyah, Diki
Universitas Jenderal Achmad Yani
Arts Humanities Computer Science & IT Economics, Econometrics & Finance Education Engineering Health Professions Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mechanical Engineering Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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Studi Kasus: Penerapan General Initial Management Terhadap Kriteria Hasil Masalah Nyeri Akut Pada Pasien Acute Coronary Syndrome di Instalasi Gawat Darurat RSUD Cibabat Kota Cimahi Diki Ardiansyah; Alya Fariida Yasmin; Andria Pragholapati
Malahayati Nursing Journal Vol 6, No 9 (2024): Volume 6 Nomor 9 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i9.16677

Abstract

ABSTRACT The incidence of ACS in the emergency room of Cibabat Hospital, Cimahi City in 2023 was quite high, reaching 1,056 people. The appropriat handling carried out by nurses in the emergency room is to apply general initial management (MONA) as a measure to help reduce pain and risk of death within the first 2 hours of an attack. The purpose of this study was to determine the description of the application of general initial management in nursing care for ACS patients in the Emergency Room of Cibabat Hospital, Cimahi City. This study used descriptive case report or case study methodology. The research subjects were patients with a diagnosis of ACS STEMI, patients with acute pain nursing problems, patients fully conscious with a compos mentis level of consciousness. The results of the assessment of left chest pain, pain did not decrease, pain like stabbing, pain radiating to the back and left arm, pain scale 6, pain lasted ≥20 minutes, echg picture of sinus bradycardia and ST segment elevation in leads II, III, and aVF, troponin I 40000 ng/L. General initial management was applied, positioning, nasal cannula oxygen 4L/min, aspirin (arixtra 2.5 cc 1x1 sc), and nitrates were not given because the patient did not meet the requirements, namely systolic ≤90 mmHg and pulse ≤60x/min, after being evaluated 1 hours the pain scale was reduced to 3. The author concludes that the application of general initial management (MONA) can reduce pain in ACS in the first 1 hours. Based on this study, it is recommended for nurses to improve the accuracy of the implementation of general initial management to reduce acute pain in ACS patients.. Keywords: General Initial Management, Acute Pain, Acute Coronary Syndrome, Nursing Care  ABSTRAK Angka kejadian ACS di IGD RSUD Cibabat Kota Cimahi pada tahun 2023 cukup tinggi yaitu mencapai 1.056 orang. Penanganan yang tepat dilakukan perawat di IGD dengan melakukan penerapan general initial management (MONA) sebagai tindakan untuk membantu mengurangi rasa sakit dan risiko kematian dalam 2 jam pertama serangan. Tujuan penelitian ini guna memahami gambaran penerapan general initial management dalam asuhan keperawatan pada pasien ACS di IGD RSUD Cibabat Kota Cimahi. Penelitian ini menggunakan metodologi deskriptif case report atau studi kasus. Subjek penelitian adalah pasien dengan diagnosa ACS STEMI, pasien dengan masalah keperawatan nyeri akut, pasien sadar penuh dengan tingkat kesadaran compos mentis. Hasil pengkajian nyeri dada sebelah kiri, nyeri tidak berkurang, nyeri seperti tertusuk-tusuk, nyeri menjalar ke punggung dan lengan kiri, skala nyeri 6, nyeri berlangsung ≥20 menit, gambaran EKG sinus bradikardia dan ST segmen elevasi pada lead II, III, dan aVF, troponin I 40000 ng/L. Dilakukan penerapan general initial management pemberian posisi, pemberian oksigen nasal kanul 4L/menit, aspirin (arixtra 2,5 cc 1x1 sc), dan nitrat tidak diberikan karena pasien tidak memenuhi syarat yaitu sistolik ≤90 mmHg dan nadi ≤60x/menit, setelah dievaluasi 1 jam skala nyeri berkurang menjadi 3. Penulis menarik kesimpulan penerapan general initial management (MONA) dapat menurunkan nyeri pada ACS di 1 jam pertama. Berdasarkan penelitian ini disarankan bagi perawat untuk meningkatkan ketepatan implementasi general initial management untuk mengurangi nyeri akut pada pasien ACS. Kata Kunci: General Initial Management, Nyeri Akut, Acute Coronary Syndrome, Asuhan Keperawatan
Case study of stress ball implementation to reduce pain in children with dhf during blood sampling Diki Ardiansyah; Asep Badrujamaludin; Rizki Endang Juliani; Dedi Supriadi
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 2 (2026): May Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i2.3302

Abstract

Background: Blood sampling is a common invasive procedure in children with suspected Dengue Hemorrhagic Fever (DHF). This procedure causes pain, non-pharmacological interventions to reduce pain with distraction techniques using stress balls. Purpose: This study aims to describe the effect of stress ball implementation in reducing pain in children aged 3-6 years who undergo blood sampling in the emergency room with a medical diagnosis of suspected DHF. Method: Descriptive method research in the form of a case study on one preschool child with a diagnosis of suspected DHF. Data were collected through interviews, observations, physical examinations, literature studies, and medical documentation. Results: The results of the assessment of breathing frequency 26x/min, SpO2 96%, BP 95/65 mmhg, pulse frequency 78x/min, CRT <2 seconds, complaining of pain on a scale of 5, grimacing, looking restless, with acute pain nursing problems. The results of the study showed that the use of stress balls during the blood sampling process at preschool age was able to reduce the level of pain from a moderate pain scale to mild pain through observation of children's verbal and non-verbal responses. Conclusion: Stress ball is proven to reduce pain during blood collection in preschool age. Suggestion: Therefore, this intervention can be applied more widely in health care facilities as part of standard paediatric nursing services.
Co-Authors Adin Adin Adinda Dwi Permatasari Aeni, Linda Nur Alawiah, Siti Nurbayanti Alfian Adi Saputra Alya Fariida Yasmin Ambarwati, Putri Ameraldo, Fedi Andria Pragholapati Anggraeni, Diah Tika Ardianto, M. Dwi Asep Setiawan Badrujamaludin, Asep Balqis Fashila Dedi Supriadi Delima, Elga Devtian Putera Perdana Dwi Febriyanti Dwi Hastuti Dwi Hastuti Dwi Hastuti Dyna Apriany Fadhilah, Najwa Hilmia Fadilah Anggelia Shafira Fauziah Rudhiati, Fauziah Galih Jatnika Ghozali, Nur Azizah Wandinia Gilang Maulana Hadiana, Asep Id Harkat, Avisenna Kadi, Fiva Aprillia Maryana, Dela Muhamad Jauhar Muhammad Idris Nur Azizah Wandinia Ghozali Oop Ropei Oryza Ardhiarisca Pratiwi, Arti Febriani Rahma Rina Wijayanti Ramadhani, Diah Rita Fitri Yulita Rizki Endang Juliani Rizki, Marsi Fella Salas Auladi Sari, Tri Darma Rosmala Setiasih, Yani Siti Annisa Siti Nurbayanti Awaliyah Sutantio, R. Alamsyah Syaiful Arif Theresia Avila Kurnia Tria Firza Kumala Triayani, Desi Wisdom Rudiyana Yulita, Rita Fitri Yuswandi Yuswandi Zahra, Lulu