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Asuhan Keperawatan Pada Ny. D Dengan Gangguan Sistem Reproduksi : Kista Ovarium Di Ruang Nusa Indah RSUD Dr. Soeselo Kabupaten Tegal Umi Mahmudah; Tati Karyawati; Siti Fatimah
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 3 (2025): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v3i3.515

Abstract

Ovarian cyst is one of the most common reproductive system disorders among women of reproductive age, often asymptomatic and discovered only during advanced stages. This study aimed to describe the nursing care process for a patient diagnosed with ovarian cyst using a comprehensive nursing approach. A descriptive case study was conducted on a patient named Mrs. D, hospitalized at Nusa Indah Ward of RSUD dr. Soeselo, Tegal. Data were collected through interviews, observation, physical examination, and documentation. The identified nursing diagnoses included acute pain, anxiety, knowledge deficit, risk of infection, and nutritional risk. Interventions were implemented according to the Indonesian Nursing Intervention Standards (SIKI), including non-pharmacological pain management and patient education. The evaluation showed improvement in pain levels, anxiety, and patient understanding of the disease. This study confirms the importance of comprehensive and holistic nursing care in managing ovarian cyst patients, especially through effective communication and collaboration with multidisciplinary teams.
Asuhan Keperawatan Pada Ny. D Dengan Anemia Pada Kehamilan: Laporan Kasus Di Ruang Nusa Indah RSUD Dr. Soeselo, Kabupaten Tegal Nadila Azkiya Sofiyani; Tati Karyawati; Siti Fatimah
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 3 (2025): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v3i3.516

Abstract

Anemia in pregnancy is a major health problem that increases maternal and fetal morbidity and mortality, thus requiring prompt and appropriate management. This study aimed to describe nursing care for Mrs. D, a 19-year-old primigravida with anemia in the Nusa Indah Ward of RSUD dr. Soeselo, Tegal Regency. The method used was a case report with data collected through interviews, direct observation, and medical record review during hospitalization from January 13–15, 2025. Assessment results showed a hemoglobin level of 6.5 g/dL with clinical signs of pallor, cold extremities, tachycardia, and complaints of dizziness and weakness. The nursing diagnoses established were ineffective peripheral perfusion and risk for nutritional deficit. Interventions included monitoring vital signs, providing nutritional education, administering iron and folic acid supplements, and collaborating on blood transfusion. Evaluation indicated both subjective and objective improvement, and the nursing problems were resolved. In conclusion, comprehensive and collaborative nursing care contributed to the improvement of the patient’s condition with pregnancy-related anemia.
Asuhan Keperawatan Jiwa Pada Tn. R dengan Masalah Utama Gangguan Sensori Persepsi: Halusinasi Pendengaran Akibat Skizofrenia Tak Terinci: Studi Kasus di Ruang Hudowo RSJD dr. Amino Gondohutomo Provinsi Jawa Tengah Ahmad Akhyarudin Aziz; Titi Sri Suyanti; Tati Karyawati
Jurnal Mahasiswa Ilmu Kesehatan Vol. 3 No. 4 (2025): Jurnal Mahasiswa Ilmu Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/jumkes.v3i4.3298

Abstract

Mental health is an important aspect that supports quality of life, including a state of well-being related to happiness, satisfaction, achievement, optimism, and dynamic hope according to life situations (Fitri, 2025; Herlina et al., 2024). Schizophrenia is a severe mental disorder characterized by an inability to communicate, impaired perception of reality (illusions and hallucinations), and loss of self-confidence, included in the category of psychosis (Mardiana et al., 2024). The purpose of writing this scientific paper is to find out and implement psychiatric nursing care for Mr. R, with the main problem of sensory perception disorders: auditory hallucinations due to schizophrenia that are not detailed in the Hudowol Room of Dr. Amino Gondohutomo Mental Hospital, Central Java Province. The method used is a descriptive approach with a case study. The case review results showed that the client heard male and female voices saying negative things and often talked to himself. The problem tree identified sensory perception disorders: auditory hallucinations as the core problem, accompanied by self-care deficits, social isolation, and the risk of violent behavior. Interventions are designed based on implementation strategy guidelines for clients and families, implemented, and evaluated as documented evidence
Asuhan Keperawatan pada Ny. T Keluarga Tn. H dengan Gangguan Sistem Kardiovaskuler : Hipertensi di Desa Purwodadi RT 02 RW 01 Kecamatan Tonjong Kabupaten Brebes Hanum Alya Saputri; Tati Karyawati; Arisnawati Arisnawati
Jurnal Mahasiswa Ilmu Kesehatan Vol. 3 No. 4 (2025): Jurnal Mahasiswa Ilmu Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/jumkes.v3i4.3305

Abstract

Non-communicable diseases (NCDs) are a major challenge in today's health development. One category of these diseases is hypertension, which is classified as a chronic disease with a relatively high mortality rate. Hypertension serves as a major predictor for various chronic diseases and is a common disease found in the community (Putri et al., 2025). If not managed properly, hypertension can lead to more serious complications such as stroke, coronary heart disease, diabetes, kidney failure, and blindness. Stroke (51%) and coronary heart disease (45%) are the leading causes of death related to hypertension (Pokhrel, 2024). The increasing prevalence of hypertension along with changes in lifestyle and unhealthy eating patterns adds to the global health burden. Therefore, effective management of hypertension is essential to prevent further complications. Appropriate hypertension management and regular monitoring can reduce the risk of related diseases, improve quality of life, and reduce mortality caused by complications of heart disease and stroke. Preventive and promotive efforts through health education are key to reducing the prevalence of hypertension in the community.
Hubungan Antara Pola Makan Dengan Kejadian Gastritis Pada Remaja Tati Karyawati; Slamet Wijaya Biantoro
Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF) Vol. 2 No. 1 (2024): Januari : Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF)
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/jrikuf.v2i1.120

Abstract

Teenagers are often trapped in unhealthy and irregular eating patterns, even to the point of experiencing eating disorders. Eating disorders due to being busy with school assignments and other life burdens, make them tend to experience stomach problems, namely ulcers or gastritis. The aim of this research is to determine the relationship between eating patterns and the incidence of gastritis in adolescents at SMA Al Hikmah 2 Brebes. This research is a quantitative research with a descriptive correlation design using a cross sectional approach. The sampling technique in this research is Simple Random Sampling. The number of samples in this research was 71 respondents using the Slovin formula, the measuring tool used in this research was a questionnaire. The research results showed that 45 respondents (63.4%) had good eating patterns and 26 respondents (36.6%) had poor eating patterns. From the results of statistical testing using the chi Square statistical test, the p-value = 0.000 (p<0.005) was obtained, so there is a relationship between diet and the incidence of gastritis in teenagers at SMA Al Hikmah 2 Brebes. Suggestions from research are that teenagers can pay attention to their diet to prevent gastritis.
Asuhan Keperawatan pada Tn. H dengan Gangguan Sistem Kardiovaskular: Congestive Heart Failure (CHF) di Ruang Dahlia RSUD dr. Soeselo Kabupaten Tegal M Ragil Bahtiar Rizqi; Tati Karyawati; Muhammad Silahudin
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1767

Abstract

Heart failure or congestive heart failure (CHF) is a condition where the heart is unable to pump blood optimally to meet the body's metabolic needs, resulting in symptoms such as shortness of breath, excessive fatigue, and edema (Majid, 2017). According to WHO data in 2023, CHF is one of the main causes of death with a total of 17.5 million deaths from a total of 58 million cases recorded worldwide. This paper aims to describe and provide an overview of nursing care for patient Mr. H who experiences cardiovascular system disorders in the form of CHF in the Dahlia room of Dr. Soeselo Regional Hospital, Tegal Regency in accordance with nursing practice standards. The method used is a descriptive method through a case study with data collection techniques using interviews and observations. From the results of the case review, the main complaint experienced by the patient was shortness of breath which was quite disruptive to daily activities. Based on this condition, four main nursing diagnoses were found, namely ineffective airway clearance, hypervolemia, activity intolerance, and knowledge deficits related to the disease and self-care. The interventions provided are based on theoretical references in the Indonesian Nursing Diagnosis Standards (IDHS) and the Indonesian Nursing Outcome Standards (SLHS), and are tailored to the patient's actual condition. The implemented action plan is expected to help reduce symptoms, improve the patient's ability to function, and provide a better understanding of CHF so that the patient can actively participate in the care process.
Asuhan Keperawatan pada Ny.P Dengan Sc Indikasi IUFD Akibat Solusio Plasenta di Ruang Nusa Indah RSUD Dr. Soeselo Kabupaten Tegal Saskiana Dewi; Tati Karyawati; Siti Fatimah
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1793

Abstract

When problems such as antepartum hemorrhage, fetal distress, atypical fetal presentation, and gestational hypertension occur, a cesarean section can save the lives of both mother and baby. A cesarean section (CS) is a surgical technique in which the uterus and abdominal wall are opened to deliver the fetus. In many countries, cesarean sections are the most common surgical procedure, and over the past 30 years, their use has gradually increased. Intrauterine fetal death is the death of a fetus weighing 500 grams or more in the womb at 20 weeks of gestation or later. The partial or complete separation of a normally implanted placenta after 22 weeks before birth is known as placental abruption. he purpose of this paper is to provide nursing care to Mrs. P with a Caesarean section indicating intra uterine fetal death (IUFD) due to placental abruption in the Nusa Indah room of dr. Soeselo Regional General Hospital, Tegal Regency, according to nursing standards. The method used is descriptive with a case study approach. The data collection techniques in this scientific paper are in the form of interviews, observations, documentation studies and literature studies. From the case review, the main complaint was pain in the operated area, pain increased when moving, pain like being squeezed with a pain scale of 5, pain that comes and goes. The patient appeared to be grimacing in pain and restless, the patient always held the area that had been operated on, the results of the vital signs examination obtained: BP: 139/100 mmHg, pulse: 103 x / minute, S: 36.5oC, RR: 20 x / minute, there was a bandage on the lower abdomen along 15 cm with a horizontal line, the patient did not know and was confused about the birth control used after the CS. The nursing problems identified were acute pain, risk of infection, and knowledge deficit. Interventions were developed based on the theory in the SDKI, SLKI, and SIKI, as well as the client's condition, and were implementable
Asuhan Keperawatan pada Tn. N dengan Gangguan Sistem Endokrin : Diabetes Melitus di Ruang Dahlia RSUD dr. Soeselo Kabupaten Tegal Meita Eni Peniar; Tati Karyawati; Muhammad Silahudin
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1799

Abstract

The endocrine system is a ductless body control system that produces hormones to regulate various organs and physiological processes. Hormones act as important biological messengers in the human body. One of the most essential hormones is insulin, which plays a key role in blood sugar regulation. Insufficient insulin production or impaired insulin action can cause disruption of blood glucose control, leading to diabetes mellitus. Diabetes mellitus is a chronic metabolic disorder characterized by persistently high blood glucose levels caused by impaired insulin secretion, insulin action, or both. The purpose of this paper is to apply nursing care to Mr. N, a patient with endocrine system disorders: diabetes mellitus, treated in the Dahlia Ward of Dr. Soeselo Regional Hospital, Tegal Regency. This descriptive case study method was used to explain the nursing process in a structured manner. The main complaint presented by the client was pain in the wound on the left foot. Four nursing diagnoses were identified during the assessment, namely unstable blood glucose levels, acute pain, impaired skin/tissue integrity, and knowledge deficit. Nursing interventions were developed and implemented based on the Standar Diagnosis Keperawatan Indonesia (SDKI), Standar Luaran Keperawatan Indonesia (SLKI), and Standar Intervensi Keperawatan Indonesia (SIKI). The case highlights the importance of comprehensive nursing care in diabetes management, with a focus on blood glucose stabilization, pain management, wound care, and patient education. The results of this study are expected to provide additional references for clinical practice and strengthen the role of nurses in preventing complications of diabetes mellitus.
Asuhan Keperawatan Pada Tn. A dengan Gangguan Sistem Imunologi: (Febris Akut di Ruang Dahlia Rsud Dr. Soeselo Kabupaten Tegal) Putri Dwi Kamala; Tati Karyawati; Ahmad Zakiudin
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 3 No. 4 (2025): Desember : Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebida
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v3i4.1816

Abstract

Febrile illnesses can be caused by a wide variety of viruses, bacteria, and other pathogenic microbes, and their production originates from outside the body. These substances, known as exogenous pyrogens, can enter the human system through contaminated water, food, or direct human-to-human transmission. Once inside the body, exogenous pyrogens stimulate the immune system by triggering the release of endogenous pyrogens such as cytokines, which in turn act on the hypothalamus to increase body temperature as a defense mechanism. This physiological response, while protective, can also indicate an underlying infection that may need prompt medical treatment. According to the World Health Organization (WHO) in 2020, the number of fever cases worldwide reached approximately 11–20 million people annually, with an estimated 128,000–161,000 deaths each year due to complications from febrile illnesses (Meirita et al., 2024). The global burden of fever varies by region; for example, in the United States, South America, and Western Europe, the incidence of fever is estimated to reach 4–5% of the population. In contrast, several Asian countries report higher prevalence rates, such as Japan with 6–9%, India with 5–10%, and Guam with 14% (Ulum et al., 2024). These statistics highlight the ongoing public health challenge posed by febrile illnesses, emphasizing the need for improved surveillance, prevention strategies, and treatment protocols worldwide.
Asuhan Keperawatan pada Ny. U Dengan Gangguan Sistem Pencernaan: Abdominal Pain di Ruang Dahlia RSUD Dr. Soeselo Kabupaten Tegal Tahta Alfina Nuranida; Tati Karyawati; Sujono Sujono
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 3 No. 4 (2025): Desember : Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebida
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v3i4.1819

Abstract

Abdominal pain is one of the main complaints frequently encountered in patients in emergency departments and inpatient wards. This condition may be caused by various factors, ranging from gastrointestinal disorders and inflammation to reproductive system problems. Poorly managed pain can affect the patient’s quality of life, reduce daily activities, and increase anxiety. This case study aims to describe nursing care for Mrs. U, who presented with abdominal pain at dr. Soeselo Hospital, Tegal Regency. The research method applied was a case study with a nursing process approach, including assessment, diagnosis, intervention, implementation, and evaluation. The assessment revealed that the patient complained of lower abdominal pain with a pain scale of 5 (moderate), accompanied by nausea, weakness, and intermittent fever. The primary nursing diagnosis established was acute pain related to physiological injury agents. Interventions included pain management education, relaxation techniques, application of warm compresses, and collaboration in administering analgesics. The evaluation showed a decrease in pain intensity from a scale of 5 to 3, with the patient appearing calmer and showing improved sleep quality. This study emphasizes the crucial role of nurses in providing comprehensive care to reduce abdominal pain through both independent and the collaborative interventions with the medical team.