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EFEKTIVITAS TERAPI FOOT MASSAGE TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA DENGAN HIPERTENSI DI PUSKESMAS BUNGURSARI Serly Serly; Wirdan Fauzi Rahman; Yayan Ardiansyah
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 7, No 3 (2023): September
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v7i3.17168

Abstract

ABSTRAKHipertensi tidak terkontrol pada lansia akan menyebabkan lansia sering mengalami pusing dan sakit kepala sehingga memiliki dampak terhadap kualitas hidup lansia dan akan menghambat lansia dalam melakukan aktivitas sehari-hari. Jika tidak terkontrol, hipertensi dapat menyebabkan terjadinya komplikasi serius seperti penyakit jantung, stroke, retinopati, dan gagal ginjal. Hipertensi telah diidentifikasi oleh World Health Organization (WHO) sebagai salah satu faktor risiko paling signifikan untuk mordibitas dan mortalitas di seluruh dunia dan bertanggung jawab atas kematian sekitar sembilan juta orang setiap tahunnya. Tujuan dari Karya Ilmiah Akhir ini yaitu untuk gambaran asuhan keperawatan dengan masalah hipertensi pada lansia dengan metode Studi Kasus. Diagnosa yang diangkat dalam masalah ini adalah manajemen kesehatan tidak efektif. Implementasi yang diberikan selama 3 hari untuk diagnosa manajemen kesehatan tidak efektif adalah edukasi kesehatan mengenai konsep hipertensi, pengenalan diet DASH, dan pengenalan terapi non-farmakologis berupa pijat kaki (foot massage) untuk menurunkan tekanan darah. Berdasarkan hasil implementasi foot massage yang diberikan terhadap klien terjadi penurunan tekanan darah sebanyak 18 mmHg pada tekanan darah sistolik dan 10 mmHg pada tekanan darah diastolik. Disarankan kepada tenaga kesehatan agar dapat meningkatkan pengetahuan lansia terhadap cara mengatasi masalah hipertensi, melanjutkan penerapan terapi pijat kaki (foot massage) bagi penderita hipertensi, dan pola hidup yang sehat melalui kegiatan posyandu lansia. Kata Kunci: hipertensi; lansia; terapi foot massage ABSTRACT Uncontrolled hypertension in the elderly will provoke them to experience dizziness and headaches. It affects the quality of life of the elderly and will hinder them from carrying out their daily activities. Hypertension can cause serious complications such as heart disease, stroke, retinopathy, and kidney failure. Hypertension has been identified by the World Health Organization (WHO) as one of the most significant risk factors for morbidity and mortality worldwide and is responsible for the death of around nine million people each year. The purpose of this study is to describe nursing care with hypertension problems in the elderly using the Case Study method. The diagnosis raised in this case is ineffective health management. The implementation given for three days for the diagnosis is health education regarding the concept of hypertension, introduction to the DASH diet, and introduction of non-pharmacological therapy in the form of foot massage to lower blood pressure. Based on the results of the implementation of the foot massage given to the client, there was a decrease in blood pressure of 18 mm/Hg in systolic blood pressure and 10 mm/Hg in diastolic blood pressure. It recommended that health workers increase the knowledge of the elderly on how to deal with hypertension, continue the foot massage therapy for hypertension sufferers, and adopt a healthy lifestyle through Posyandu activities for the elderly. Keyword: hypertension; elderly; foot massage therapy
PELATIHAN TEHNIK PERNAPASAN BUTEKYO TERHADAP PENGONTROLAN ASMA DI RUANG RAWAT INAP RSUD KARAWANG Wirdan Fauzi Rahman; Sherly Sherly; Yashinta Oktaviany
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 7, No 3 (2023): September
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v7i3.17167

Abstract

ABSTRAKAsma merupakan inflamasi kronik pada jalan nafas. Tehnik pernafasan yang dikembangkan untuk mengontrol asma adalah tehnik pernafasan Buyteko.Tujuan Pelatihan ini adalah untuk mengetahui efektivitas teknik pernafasan Buteyko terhadap pengontrolan asma. Pelatihan ini dilakukan di ruang rawat inap sebanyak 23 pasien. Asma merupakan inflamasi kronik pada jalan nafas yang disebabkan oleh hiperresponsivitas jalan nafas, edema mukosa dan produksi mucus berlebih. Inflamasi ini biasanya kambuh dengan tanda pada episode asthma seperti batuk, dada sesak, wheezing dan dyspnea(Smeltzer, Suzanne C. O’Connell., Bare, 2018). Penyakit ini dapat mengakibatkan penurunan jumlah udara yang dapat diinduksi oleh kontraksi otot polos, penebalan pada dinding jalan nafas serta terdapatnya sekresi berlebih dalam jalan nafas yang merupakan hasil dari respon berlebih pada alergen.( Jeffrey M.C, 2018). Alergi merupakan faktor predisposisi terkuat terhadap angka kejadian asma, paparan yang lama pada iritan jalan nafas atau alergen juga meningkatkan resiko berkembangnya asma. Sedangkan faktor pencetus terhadap gejala asma dan eksaserbasi pada pasien asma meliputi iritan jalan nafas, latihan, stress atau kesedihan yang mendalam, sinusitis dengan postnasal drip, terapi pengobatan, infeksi traktus respiratorius yang disebabkan oleh virus dan gastroesophageal reflux(Smeltzer, Suzanne C. O’Connell., Bare, 2018). Keywords : buteyko breathing technique; pengontrolan asma ABSTRACTAsthma is a chronic inflammation of the airways. The breathing technique developed to control asthma is the Buyteko breathing technique. The aim of this training is to determine the effectiveness of the Buteyko breathing technique for controlling asthma. This training was carried out in the inpatient room of 23 patients. Asthma is a chronic inflammation of the airways caused by airway hyperresponsiveness, mucosal edema and excess mucus production. This inflammation usually recurs with signs of an asthma episode such as coughing, chest tightness, wheezing and dyspnea (Smeltzer, Suzanne C. O'Connell., Bare, 2018). This disease can result in a decrease in the amount of air that can be induced by smooth muscle contractions, thickening of the airway walls and the presence of excess secretions in the airways which are the result of an exaggerated response to allergens. (Jeffrey MC, 2018). Allergy is the strongest predisposing factor for the incidence of asthma, prolonged exposure to airway irritants or allergens also increases the risk of developing asthma. Meanwhile, precipitating factors for asthma symptoms and exacerbations in asthma patients include airway irritants, exercise, stress or deep sadness, sinusitis with postnasal drip, medication therapy, respiratory tract infections caused by viruses and gastroesophageal reflux (Smeltzer, Suzanne C. O' Connell., Bare, 2018) Keywords : buteyko breathing technique; asthma control
PENERAPAN TEPID WATER SPONGE UNTUK MENURUNKAN DEMAM PADA ANAK USIA TODDLER 1-3 TAHUN DENGAN KEJANG DEMAM DI RUANG KEMUNING RSUD BAYU ASIH PURWAKARTA Wirdan Fauzi Rahman; Serly Serly; Reyda Azzahra
Jurnal Cakrawala Ilmiah Vol. 1 No. 10: Juni 2022
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Febrile convulsions or febrile convulsions are seizures that occur with an increase in body temperature (rectal temperature above 38˚C) which is most often found in children aged 6 months to 4 years. The World Health Organization (WHO) estimates that by 2020 the prevalence of febrile seizure patients will be more than 18.5 million and more than 155,000 of them will die. The incidence of febrile seizures in Indonesia by 2021 reaches 22.2%. Approximately 25-50% of children with febrile seizures have recurrent febrile seizures. Patients with febrile seizures need to be given compress therapy, one of which is by using the Tepid Water Sponge technique. The Tepid Water Sponge is a form of warm compress that uses the wiping technique to reduce the body temperature of patients with high fever. The purpose of this study was to describe the application of Tepid Water Sponge on An. R who had a high fever with febrile seizures. This type of research is descriptive with a case study approach method. The subjects in this study were one toddler patient aged 1-3 years with febrile seizures who experienced hyperthermia in the Kemuning room at Bayu Asih Hospital, Purwakarta. The results of this study showed that the child's temperature before being given a tepid water sponge was 38.8°C and after being given a tepid water sponge for 3 days, namely 36.5°C. The tepid water sponge nursing intervention was carried out in the morning and afternoon in a span of 15-20 minutes. The conclusion from the results of this study is that the average temperature decrease is 1°C and it can be concluded that the tepid water sponge can reduce body temperature in hyperthermic children with febrile seizures