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All Journal JURNAL ILMIAH KESEHATAN KEPERAWATAN Jurnal Kesehatan JURNAL PENDIDIKAN KEPERAWATAN INDONESIA ELKOMIKA: Jurnal Teknik Energi Elektrik, Teknik Telekomunikasi, & Teknik Elektronika Jurnal Keperawatan BSI NurseLine Journal Jurnal Keperawatan Padjadjaran Media Kesehatan Politeknik Kesehatan Makassar Journal of Health Science and Prevention Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal Journal of Nursing Care ComTech: Computer, Mathematics and Engineering Applications Jurnal Perawat Indonesia Media Karya Kesehatan Jurnal Riset Kesehatan Poltekkes Depkes Bandung Malahayati International Journal of Nursing and Health Science Journal of Community Empowerment for Health Indonesian Journal of Global Health research Majalah Kesehatan Indonesia Sehat Masada MAHESA : Malahayati Health Student Journal Jurnal Keperawatan BSI Journal of Health and Nutrition Research SENTRI: Jurnal Riset Ilmiah Journal of Nursing Science Update Jurnal Keperawatan 'Aisyiyah Padjadjaran Acute Care Nursing Journal (PACNJ) Jurnal Medika Nusantara Jurnal Ilmiah Kesehatan Keperawatan Nursing Case Insight Journal

Eka Afrima Sari

Fakultas Keperawatan Universitas Padjadjaran

Author-ID : 646072

Aerospace Engineering Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Other

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INTERVENSI NON FARMAKOLOGIS UNTUK MENGATASI GANGGUAN POLA TIDUR PADA PASIEN HIPERTENSI: STUDI LITERATUR Rahayu Merdekawati; Maria Komariah; Eka Afrima Sari
Jurnal Keperawatan BSI Vol 9 No 2 (2021): Jurnal Keperawatan BSI
Publisher : LPPM Universitas BSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.724 KB)

Manifestasi klinis yang kerap dialami penderita hipertensi dapat mengganggu pola tidur yang menyebabkan terjadinya peningkatan hormon kortisol sehingga tekanan darah menjadi tidak stabil dan meningkatkan resiko terjadinya komplikasi, serta dapat mengganggu kualitas hidup pasien. Penelitian ini bertujuan untuk mengidentifikasi intervensi-intervensi non farmakologis yang dapat dilakukan pada penderita hipertensi untuk mengatasi gangguan pola tidur. Metode penelitian yang dilakukan yaitu literature review dengan pendekatan scoping review. Setelah melakukan penyortiran sesuai kriteria inklusi dan eksklusi, dan dilakukan penilaian menggunakan instrumen The Joanna Briggs Institute Critical Appraisal Tools, didapatkan 7 artikel dan 6 intervensi mengenai intervensi non farmakologis untuk mengatasi gangguan pola tidur pada pasien hipertensi antara lain acupoint massage, hijamah, relaksasi otot progresif, senam hipertensi, spiritual emotional freedom technique, dan foot massage and back massage.

Literature Review: Adolescent Perceptions Toward Teenage Pregnancy Delia Amalia; Ermiati Ermiati; Eka Afrima Sari
Journal of Nursing Science Update (JNSU) Vol. 9 No. 1 (2021)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Teenage pregnancy is one of the health problems in developing countries that has not been resolving yet. Adolescent perception is one of the factors that influence the incident of teenage pregnancy. At present, there are still limited research articles about adolescent perceptions toward teenage pregnancy. The purpose of this literature study is to find out how adolescent perceptions toward teenage pregnancy. This literature study used a scoping review method. There were 6 articles was analyzed after sorting by inclusion criteria consisting of the article contained an explanation or description of adolescent perceptions of teenage pregnancy, the year 2015-2020, English or Indonesian, full text, samples aged 10-19 years. The result of the study found out that adolescents had negative perceptions such as pregnancy among adolescents is too young, teenage pregnancy caused by several factors, and has various negative impacts toward adolescents, parents, and infants. Furthermore, adolescents had positive perceptions such as teenage pregnancy in adolescent is normal, life will not differ, her boyfriend will be responsible to her pregnancy. The conclusions from this literature review were the difference in perceptions between adolescents towards pregnancy in adolescents is influenced by adolescent environmental culture and believed.

Literature Study: Types of Social Support in Adolescents with Unwanted Pregnancy Sifva Fauziah; Ermiati Ermiati; Eka Afrima Sari
Journal of Nursing Science Update (JNSU) Vol. 9 No. 1 (2021)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Unwanted Pregnancy in adolescents can create a negative impact on adolescents who experience it. Management of Unwanted Pregnancy by providing social support are needed to reduce the perceived impact. The limited articles on the types of social support for adolescents experiencing Unwanted Pregnancy made this literature study aimed to find out the types of social support that can be provided to adolescents who experience Unwanted Pregnancy. This research method was scoping review using search engines such as EBSCOHost, Google Scholar, and PubMed. The keywords used were "adolescents" OR "teenagers" OR "young adults" OR "student" AND "unwanted pregnancy" AND "social support". The result of article search based on inclusion and exclusion criteria had found 6 articles. Critical appraisal was done using a JBI critical appraisal checklist with a result of 6 selected articles which stated as eligible sources to be used as source of references in this literature study. The result of the review of 6 articles with content analysis found that there were 10 types of social support that can be provided to adolescents who experience Unwanted Pregnancy. The types of social support were providing information, counseling, communication, emotional support, financial support, assistance, accountability, appreciation, providing shelter and providing educational facilities. Recommendations for further research are expected to do a further analysis on types of social support that has been found, so that it can be implemented to reduce the impact on adolescents with Unwanted Pregnancy.

HAMBATAN PADA PELAKSANAAN SELF CARE HIPERTENSI: Scoping Review Constantius Augusto; Eka Afrima Sari; Iwan Shalahuddin
Jurnal Kesehatan Vol 15, No 2 (2022): Jurnal Kesehatan
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/jk.v15i2.19470

Meningkatnya kasus pasien hipertensi mengalami komplikasi karena tidak optimalnya tindakan self – care pada pasien. Sehingga perlu diketahui hambatan – hambatan dalam melaksanakan self – care hipertensi. Penelitian sebelumnya hanya membahas mengenai faktor hambatan pada pasien hipertensi. Sedangkan hambatan secara keseluruhan belum ditemukan. Maka penelitian ini dilakukan untuk menemukan hambatan dalam melakukan self – care hipertensi. Tujuan dari penelitian ini adalah untuk menemukan apa saja hambatan dalam mengimplementasikan self – care hipertensi dari beberapa penelitian sebelumnya yang kemudian akan dibagi menjadi beberapa kategori menurut sumber faktor penghambatanya. Metode penelitian scoping review. Pencarian literatur menggunakan database PubMed dan CINAHL, serta search engine Google Scholar. Literatur yang digunakan adalah penelitian eksperimental dan non – eksperimental, menggunakan artikel berbahasa Indonesia dan Inggris, rentang waktu terbit studi adalah 10 tahun terakhir (2012 – 2022), populasi penelitian adalah pasien hipertensi dewasa dan lansia. Kemudian artikel dilakukan ekstraksi data, analisa data secara kualitatif, dan hasil analisa dimasukan dan dilakukan pengelompokan berdasarkan sumber faktor hambatan self – care yang ditemukan. Hasil penelitian ditemukan 16 artikel dan dari ke 16 artikel tersebut hampir seluruhnya menyebutkan faktor hambatan dalam melakukan self – care hipertensi berasal dari pasien. Kesimpulan bahwa hampir seluruh faktor penghambat dalam melakukan self – care hipertensi berasal dari pasien. Rekomendasi diharapkan perawat untuk meningkatkan hubungan komunikasi, keterampilan, dan jumlah tenaga kerja dalam memberikan bantuan self –care. Pasien, keluarga, caregiver, dan masyarakat berkontribusi penuh dalam proses pendidikan self – care hipertensi. Serta peneliti selanjutnya untuk melanjutkan penelitian ini dan menemukan inovasi dalam upaya deteksi awa

The Intervention of Trunk Posture on Fowler 30o to Reduce Shortness of Breath in Congestive Heart Failure Patients : Case Study Anggi Jamiyanti; Sarah Arnika Simatupang; Trias Eka Nurlela; Eka Afrima Sari; Yusshy Kurnia Herliani; Ramdani Ramdani
JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 8, No 2 (2022): Volume 8, Nomor 2, December 2022
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v8i2.50539

ABSTRACTIntroduction: Shortness of breath in patients with congestive heart failure is caused by impaired lung function due to pulmonary. One of the efforts that can be done to overcome shortness of breath and improve oxygenation status is to change the position of the trunk posture in fowler 30o. Objectives: This case study was conducted to analyze the application of the 30o trunk posture in fowler position in patients with congestive heart failure who experience shortness of breath. Method: The research used a a case study of patients with congestive heart failure who experience shortness of breath. Results: After giving a 30o trunk posture in fowler position for three days of treatment, there was a change of blood pressure, pulse rate, respiration and oxygen saturation of the patient. Conclussion: The position of the trunk in fowler posture 30o can reduce shortness of breath in patients with congestive heart failure.ABSTRAKPendahuluan: Sesak nafas pada penderita gagal jantung kongestif disebabkan oleh terganggunya fungsi paru karena adanya edema pulmonal. Salah satu upaya yang dapat dilakukan untuk mengatasi sesak nafas dan memperbaiki status oksigenasi adalah dengan mengubah posisi trunk posture in fowler 30o. Studi kasus ini dilakukan untuk menganalisis penerapan posisi trunk posture in fowler 30o pada pasien gagal jantung kongestif yang mengalami sesak nafas. Metode: Penelitian ini menggunakan desain evaluatif yaitu studi kasus pada pasien dengan kongestif heart failure dengan sesak nafas. Hasil: Setelah dilakukan oberservasi pemberian posisi trunk posture in fowler 30o selama 3 hari perawatan, terdapat perubahan tekanan darah, denyut nadi, pernafasan dan saturasi oksigen pasien. Simpulan: Posisi trunk postur in fowler 30o dapat mengurangi sesak napas pada pasien gagal jantung kongestif.

KEPATUHAN MENJALANKAN MANAJEMEN DIRI PADA PASIEN HEMODIALISIS Pratiwi, Sri Hartati; Sari, Eka Afrima; Kurniawan, Titis
Jurnal Perawat Indonesia Vol. 3 No. 2 (2019): August 2019
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Pasien gagal ginjal kronik harus menjalankan manjemen diri diantaranya hemodialisis, pengobatan, pembatasan cairan dan diet. Angka morbiditas dan mortalitas pada pasien hemodialisis akan meningkat apabila tidak menjalankan manajemen diri dengan baik. Penelitian ini dilakukan untuk mengidentifikasi kepatuhan pasien hemodialisis dalam menjalankan manajemen diri. Penelitian ini merupakan penelitian deskriptif yang dilakukan kepada pasien di Unit Hemodialisis di salah satu rumah sakit terbesar di Jawa Barat. Teknik pengambilan sampel yang digunakan adalah consecutive sampling dengan jumlah responden 129 orang. Teknik pengumpulan data dilakukan dengan kuesioner kepatuhan menjalankan manajemen diri pada pasien hemodialisis diadaptasi dari kuesioner End Stage Renal Disease Adherence. Data dianalisis dengan menggunakan distribusi frekuensi berupa frekuensi, persentase, dan mean. Sebagian besar responden tidak patuh dalam menjalankan manajemen diri 92 orang dan patuh sebanyak 28,7% yaitu 37 orang. Kepatuhan pasien dalam menjalankan hemodialisis sesuai jadwal sudah baik dengan rata-rata skor 271,3. Kepatuhan pasien hemodialisis masih kurang dalam membatasi asupan cairan dengan rata-rata skor 120, makanan dengan rata-rata skor 147, dan pengobatan dengan rata-rata skor 133). Tenaga kesehatan diharapkan dapat memberikan dukungan kepada pasien dengan memberikan edukasi, konseling dan promosi kesehatan dengan menggunakan berbagai media termasuk media sosial terkait pentingnya pengontrolan cairan dan makanan. Kata kunci: Hemodialisis, Kepatuhan manajemen diri Abstract Compliance with running self-management on hemodializing patients Patients with chronic kidney failure must carry out self-management including hemodialysis, treatment, fluid and dietary restrictions. The morbidity and mortality rates in hemodialysis patients will increase if they do not carry out self-management properly. This study was conducted to identify the compliance of hemodialysis patients in carrying out self-management. This research was a descriptive study conducted on patients at the Hemodialysis Unit in one of the largest hospitals in West Java. The sampling technique used was consecutive sampling with the number of respondents 129 people. Data collection techniques carried out by compliance questionnaire method of running self management in hemodialysis patients adapted from the End Stage Renal Disease Adherence questionnaire. Data were analyzed using frequency distributions in the form of frequency, percentage, and mean. Most of the respondents were not obedient in carrying out self-management as many as 71.3%, 92 people and obedient as many as 28.7%, 37 people. Patient compliance in conducting hemodialysis schedule has been good with mean 271.3. Compliance with hemodialysis patients was still lacking in limiting fluid intake with mean 120, food with mean 147, and treatment with mean 133. Health workers are expected to be able to provide support to patients by providing education, counseling and health promotion by using various media including social media related to the importance of controlling fluids and food that must be carried out by hemodialysis patients. Keywords: Adherance, Hemodialysis, Self-Management

MOTIVASI KADER KESEHATAN DALAM MENGKAJI SELF-CARE PADA PASIEN HIPERTENSI Sari, Eka Afrima; Mirwanti, Ristina; Herliani, Yusshy Kurnia
Jurnal Perawat Indonesia Vol. 3 No. 2 (2019): August 2019
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Penyakit kardiovaskular yang menjadi penyebab utama kematian nomor satu di dunia adalah hipertensi. Hipertensi yang tidak terkontrol akan menyebabkan terjadinya komplikasi sehingga salah satu upaya untuk mencegahnya adalah dengan pengendalian hipertensi. Upaya yang dapat dilakukan yaitu dengan perawatan diri (self-care) hipertensi sehingga kualitas hidup dan derajat kesehatan pasien akan meningkat. Dalam pelaksanaannya, pengendalian hipertensi ini memerlukan keterlibatan unsur masyarakat, salah satunya kader. Agar kader mampu berperan serta dalam mendampingi dan mendukung pasien dalam self-care hipertensi, diperlukan adanya suatu kemampuan dan motivasi yang kuat untuk melaksanakannya. Penelitian ini bertujuan untuk mengidentifikasi motivasi kader dalam mengkaji self-care pasien hipertensi. Desain penelitian ini adalah deskriptif kuantitatif. Sampel pada penelitian ini adalah 37 orang kader kesehatan yang didapatkan dengan menggunakan teknik purposive sampling dengan kriteria inklusi aktif sebagai kader. Pengumpulan data dilakukan menggunakan kuisioner motivasi. Analisis data menggunakan distribusi frekuensi. Hasil penelitian menunjukkan bahwa motivasi kader dalam mengkaji self-care pasien hipertensi hampir setengahnya berada pada kategori tinggi dan sebagian besar berada pada kategori rendah. Dari hasil penelitian, dapat disimpulkan bahwa sebagian besari dari kader memiliki motivasi yang rendah dalam mengkaji self-care pasien hipertensi. Sehingga perlu adanya pelatihan khusus dari pihak puskesmas mengenai self-care pada pasien hipertensi. Kata Kunci: Hipertensi, kader kesehatan, motivasi, self-care Abstract Motivation of health care in assessing self-care in hypertension patients. Hypertension is one of the cardiovascular diseases that causes death number one. Uncontrolled hypertension will cause complications, so that efforts are needed to prevent it, one of which is by controlling hypertension. Control of hypertension can be done with self-care, so that it can improve the health status and quality of life of patients.In its implementation, controlling hypertension involves community elements, one of which is a health cadre. There needs to be strong motivation and ability from cadres to be able to participate in helping and supporting patients in self-care. This study aimed to identify health cadre motivation in studying self-care for hypertensive patients. It used a descriptive quantitative approach. Participant consisted of 37 health cadre, acquired through purposuve sampling with inclusion criteria is active as cadre. Motivation was measured using a questionnaire. Data were analyzed using frequency distribution. The results showed that cadre motivation in studying self-care for hypertensive patients wa in the high category (48.6%) and in the low category (51.4%). Can be concluded that most of cadres have low motivation in studying self-care for hypertensive patients. There needs to be training from health center regarding self-care in hypertensive patients. Keywords: Health Cadres, Hypertension, Motivation, Self-Care

Observasi Penggunaan Posisi High Fowler Pada Pasien Efusi Pleura di Ruang Perawatan Penyakit Dalam Fresia 2 RSUP Dr. Hasan Sadikin Bandung : Studi Kasus Windiramadhan, Alvian Pristy; Sicilia, Asha Grace; Sari, Eka Afrima; Pratiwi, Sri Hartati; Platini, Hesti; Hamidah, Hamidah
Jurnal Perawat Indonesia Vol. 4 No. 1 (2020): May 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Efusi pleura merupkaan penimbunan cairan yang berlebihan pada rongga pleura sehingga menyebabkan seseorang mengalami sesak nafas. Tindakan yang dapat dilakukan untuk mengurangi sesak nafas dan meningkatkan oksigenasi agar tidak ketergantungan dengan pemberian oksigen dalam jangka panjang yaitu dengan posisi high fowler. Oleh karena itu peneliti tertarik untuk melakukan studi kasus tentang penggunaan posisi high fowler pada pasien efusi pleura di Ruang Fresia 2 RSUP Dr.Hasan Sadikin Bandung. Penelitian dilakukan dengan pendekatan studi kasus pada 3 orang pasien dengan krieria pasien yang di diagnosis efusi pleura pasien yang mengalami sesak nafas (RR > 24 x/menit), pasien dewasa atau lanjut, pasien dapat berkomunikasi dan bersedia diwawancara, terpasang CTT atau pigtail dan terpasang oksigen. Setelah dilakukan observasi selama tiga hari ada perbedaan nilai pernafasan dan saturasi oksigen sebelum dan sesudah posisi high fowler. Rentang nilai pernafasan sebelum posisi high fowler adalah 24 – 30 kali/menit dengan nilai saturasi oksigen 97 – 98%. Sedangkan rentang nilai pernafasan sesudah posisi high fowler adalah 22 – 27 kali/menit dengan nilai saturasi oksigen 98 – 99%. Posisi high fowler merupakan posisi pilihan untuk pasien yang mengalami sesak nafas khususnya pada pasien yang mengalami efusi pleura. Observation of Using High Fowler Position in Pleura Efficient Patients in The Medical Ward in Fresia 2 Dr. Hasan Sadikin Bandung Hospital: Case Study. Pleural effusion is an excessive accumulation of fluid in the pleural cavity and causing a person to experience shortness of breath. Actions that can be taken to reduce shortness of breath and increase oxygenation so as not to depend on the provision of oxygen in the long term is by positioning high fowler. Therefore researchers interested in conducting a case study of the use of high fowler positions in pleural effusion patients in Fresia Room 2 Dr.Hasan Sadikin Hospital Bandung. The study was conducted with a case study approach on 3 patients with patients who were diagnosed with pleural effusion of patients experiencing shortness of breath (RR> 24 x / min), adult or advanced patients, patients can communicate and be willing to be interviewed, CTT or pigtail attached and attached oxygen. After observing for three days there were differences in respiratory values and oxygen saturation before and after the high fowler position. The range of respiratory values before the high fowler position is 24-30 times / minute with an oxygen saturation value of 97-98%. While the range of respiratory values after the high fowler position is 22-27 times / minute with an oxygen saturation value of 98 - 99%. The high fowler position is the position of choice for patients who experience shortness of breath, especially in patients who experience pleural effusion.

Observasi Latihan Relaksasi Nafas Pada Pasien Chronic Kidney Diseases Dengan Fatigue Rohaeti, Sri Elis; Sutandi, Andi; Sari, Eka Afrima; Pratiwi, Sri Hartati; Platini, Hesti; Hamidah, Hamidah
Jurnal Perawat Indonesia Vol. 4 No. 1 (2020): May 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Menilai fatigue merupakan hal yang sangat penting karena fatigue sering meningkat secara langsung setelah dialysis.Masalah akan timbul jika fatigue pada pasien CKD tidak teratasi salah satunya adalah kualitas hidup yang buruk. Latihan nafas adalah teknik alami merupakan bagian strategi holistik self care untuk mengatasi keluhan seperti fatigue. Menggunakan teknik pernafasan yang efektif untuk menurunkan tingkat fatigue dapat menjadi manajemen fatigue yang dapat ditawarkan pada pasien CKD. Studi kasus ini bertujuan untuk mengobservasi penggunaan latihan nafas untuk mengatasi fatigue pada pasien CKD di Ruang Fresia 2 RSUP Dr.Hasan Sadikin Bandung. Penelitian dilakukan dengan pendekatan studi kasus pada 3 orang pasien dengan kriteria: pasien CKD stadium 5 dengan usia > 18 tahun, menjalani hemodialisis kurang dari 1 tahun, yang mengalami fatigue, dan lama rawat inap minimal 3 hari. Ketiga pasien mengalami fatigue dengan skor rata-rata fatigue hari pertama sebelum latihan relaksasi nafas 59.6 dan skor rata-rata setelah latihan relaksasi nafas adalah 55.6, skor rata-rata fatigue hari kedua sebelum latihan 54.6 dan setelah latihan 49, terdapat penurunan skor rata-rata setelah pasien mempraktikan latihan nafas pada hari pertama dan kedua. Hasil latihan relaksasi nafas yang dilakukan pasien dapat menurunkan level fatigue yang dirasakan pasien.Breathing relaxation observation in chronic kidney diseases patients with fatigue. Assessing fatigue is very important because fatigue often increases directly after dialysis. Problems will arise if fatigue in CKD patients is not resolved, one of which is poor quality of life. Breath training is a natural technique that is part of a holistic self care strategy to deal with complaints such as fatigue. Using effective breathing techniques to reduce the level of fatigue can be a management of fatigue that can be offered to CKD patients. This case study aims to observe the use of breathing exercises to overcome fatigue in CKD patients in Fresia Room 2 Dr.Hasan Sadikin Hospital Bandung. The study was conducted with a case study approach on 3 patients with criteria: stage 5 CKD patients> 18 years old, undergoing hemodialysis less than 1 year, who experienced fatigue, and a minimum stay of 3 days. All three patients experienced fatigue with an average score of fatigue the first day before breathing relaxation exercise 59.6 and the average score after breathing relaxation exercise was 55.6, the average score of fatigue the second day before exercise 54.6 and after exercise 49, there was a decrease in the average score after the patient practices breathing exercises on the first and second day. Conclusion: The results of breathing relaxation exercises by the patient can reduce the level of fatigue that is felt by the patient.

Management of Hypervolemia In Chronic Kidney Disease Stage 5 At Sumedang Hospital: A Case Study Annisa Nurbaiti Rahmah; Eka Afrima Sari; Nita Fitria
Padjadjaran Acute Care Nursing Journal Vol 3, No 3 (2022): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Kidney failure results in the body being unable to remove metabolic wastes and accumulate in the body. Decreased kidney function results in sodium retention, where high sodium will cause water to be retained to maintain balance. This can lead to hypervolemia. Patient M came to the hospital with complaints of shortness of breath, during the study, there was edema in both lower extremities with degree 2 and in both upper extremities with degree 1, the patient also appeared to have ascites. Previously, patient M was diagnosed with stage 5 chronic kidney failure and did not complete the 4th hemodialysis cycle because the patient's condition worsened. Hypervolemia in patients with kidney failure will have adverse effects including pulmonary edema, hypertension, and even heart disease. Therefore it is necessary to manage hypervolemia to prevent complications in patients. The general aim of writing this case study is to address the management of hypervolemia in stage 5 chronic kidney failure patients at the Sumedang Regional General Hospital. The results of the case study found that the nursing problem that arose in patients was hypervolemia. The interventions provided are managing hypervolemia in the form of examining signs and symptoms of hypervolemia, monitoring the patient's hemodynamic status, monitoring the patient's fluid intake and output, teaching the patient to limit fluid and salt intake, and collaborating with Lasix 1x40 mg. Evaluation results after managing hypervolemia for 3 days, decreased tightness, degree of edema remained at degree 2 in the lower extremities and upper extremities, increased abdominal circumference by 1 cm, and increased body weight from 0.5 Kg to 68.5 kg, it can be concluded that hypervolemia nursing problem has not been resolved.

Co-Authors Aan Nuraeni Adinda Putri Lestari Ahmad Ihsan Fathurrizki Anggi Jamiyanti Annisa Nurbaiti Rahmah Arifin, M Z Atlastieka Praptiwi Aulia, Hannifa Dwi Bambang Aditya Nugraha Bambang Aditya Nugraha Carissa Muthia Putri Nugroho Cecep Eli Kosasih Chairunnisa, Afina Chandra Isabella Hostanida Purba Citra Windani Mambang Sari Constantius Augusto Daila Dahlia Rojabani Dandi Trianta Barus Delia Amalia Deshita Rimadania Desri Kristina Silalahi Dien Rahmawati Diena Yudiarti Dwi, Tia E, Ermiati Ermiati Ermiati Ermiati Ermiati Fadillah, Jasmine Fasya Fatimah, Sari Filiyanti Halim GERALDI, ARIK Hamidah . Hamjah, Apip Harun, Hasniatisari Harun, Hasniatisari Hesti Platini Hesty Susanti Husneni Mukhtar Iwan Shalahuddin Karina, Grashiva Putri Kusnahadi Susanto lukman, dede Maria komariah Maria Komariah Megalita Dwika Stevani Mira Trisyani Mujahidah, Shafira Aulia Musawi, Husein Nita Fitria Nur'aeni, Yuni Nursiswati Puspita, Tita Putri Noor Kholisoh Purnama Wati Putwi Rizki Sakinah Rahayu Merdekawati Rahmania, Sina Sabila Rahmawati, Syifa Eka Ramdani Ramdani Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti, Ristina Rohaeti, Sri Elis Rohayanti, Yanti Rojabani, Daila Dahlia Salsabilla, Sausan Zahrah Salwa Sandra Pebrianti Sandra Pebrianti Sarah Arnika Simatupang Sari, Yuyun Kartika Sastianingsih, Siska Seizi Prista Sari Setiani, Haniifah Sheizi Prista Sari Sicilia, Asha Grace Sifva Fauziah Siska Sastianingsih Sri Hartati Pratiwi SUDIYONO, OOY ARIE Sutandi, Andi Suto Setiyadi Taty Hernawaty Teuku Zulkarnain Muttaqien Titis Kurniawan Titis Kurniawan Trias Eka Nurlela Tsauroh, Salsabila Fiqrotu Tuti Pahria Urip Rahayu Wafiq Nurul Azizah Willy Anugrah Cahyadi Windiramadhan, Alvian Pristy Wistara, Adli Yoga Pujiraharjo Yosilistia, Yosilistia Yusshy Kurnia Herliani Yusshy Kurnia Herliani Yusshy Kurnia Herliani, Yusshy Kurnia Yutantri, Savitri Kartika

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