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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.
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.
Asuhan Keperawatan pada Tn. R dengan Gangguan Sistem Kardiovaskular : Hipertensi di Ruang Dahlia RSUD dr. Soeselo Kabupaten Tegal Delfiana Aldianingsih; Tati Karyawati; Muhammad Silahudin
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.v3i4.1822

Abstract

Hypertension is one of the most common non-communicable diseases, with a high incidence rate that has become a major global health concern. It is often referred to as a “silent killer” because many patients are unaware of their condition until serious complications arise. In Indonesia, the prevalence of hypertension is relatively high, yet many sufferers remain undiagnosed or do not receive proper medical treatment. Several risk factors contribute to hypertension, including age, heredity, high-salt diet, obesity, lack of physical activity, and unhealthy lifestyles such as smoking and alcohol consumption. Without proper management, hypertension may lead to severe complications such as stroke, heart failure, and chronic kidney disease. Management of hypertension generally involves pharmacological therapy, such as the administration of antihypertensive drugs, as well as non-pharmacological interventions through lifestyle modifications. Nurses play a crucial role in patient education, monitoring, and preventing complications through comprehensive nursing care. The purpose of this study is to describe the nursing care provided to Mr. R, who experienced a cardiovascular system disorder, namely hypertension, in the Dahlia Ward of RSUD dr. Soeselo, Tegal Regency. The research method used was descriptive with a case study approach, allowing for a systematic and clear presentation of the patient’s condition. The case findings showed that the patient’s main complaint was a headache radiating to the nape of the neck. Based on nursing assessment, two nursing diagnoses were identified: acute pain and lack of knowledge regarding the disease and its management. Interventions were determined using national standards such as SDKI, SLKI, and SIKI, which are expected to reduce symptoms and improve the patient’s understanding of hypertension.
Asuhan Keperawatan pada Ny. S dengan Post Partum Spontan di Ruang Nusa Indah RSUD dr. Soeselo Kabupaten Tegal Cut Ema Arnila; Tati Karyawati; Siti Fatimah
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 2 No. 3 (2024): September : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v2i3.153

Abstract

The post partum period is divided into three, namely early puerperium (immediate puerperium) or recovery period 0-24 hours after delivery, immediate puerperium (later puerperium) or recovery period 1-7 days after delivery and remote puerperium (later puerperium) or the period to recover and be completely healthy (Rohmah et al, 2022). The purpose of this paper is to find out and provide nursing care to Mrs. S with postpartum in the Nusa Indah ward, dr. Soeselo Hospital, Tegal Regency according to nursing standards. The method used is a descriptive method in the form of interviews, observations, documentation studies, library studies and literature. From the case review, it was found that the patient’s main complaint was pain in the stitches in the birth canal, P: pain when moving, Q: pain like being pressed, R: pain in the stitches in the birth canal, S: pain scale 5, T: intermittent. There were 2 diagnoses found, namely labor pain and knowledge deficit. Interventions are designed based on the theories in SDKI, SLKI and SIKI as well as on the client’s condition and can be implemented.
Asuhan Keperawatan Keluarga Tn F Dengan Gangguan Sistem Pencernaan : Gastritis di Desa Kalibuntu RT 03 RW 02 Kecamatan Losari Kabupaten Brebes Fahruriza Pandinata Absor; Esti Nur Janah; Siti Fatimah; Tati Karyawati
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 2 No. 3 (2024): September : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v2i3.154

Abstract

Knowledge is very important for the formation of a person's actions and can influence a person in making a decision. Lack of knowledge about gastritis can result in people not understanding how to prevent it. Knowledge is the result of curiosity or experience carried out when such a person makes sense of a specific object. Knowledge has an important role in supporting the guidance of a person's behavior. Knowledge can influence a person's attitudes and actions regarding understanding and awareness in efforts to prevent gastritis by changing lifestyle, especially in diet, gastritis can be prevented by consuming medication, but can also reduce the factors that cause gastritis which can reduce the possibility of recurrence (Leipu , Hinga, 2022).
Asuhan Keperawatan Jiwa pada Ny.S dengan Masalah Utama Gangguan Persepsi Sensori: Halusinasi Pendengaran Akibat Skizofrenia Paranoid di Ruang Dewaruci RSJD dr. Amino Gondohutomo Provinsi Jawa Tengah Icha Lulita; Titi Sri Suyanti; Tati Karyawati
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 2 No. 3 (2024): September : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v2i3.156

Abstract

Mental health is the realization of harmonious mental functions, which allows one to face challenges, feel happy, and feel capable. A healthy soul includes self-actualization, a positive attitude towards oneself, progress, and a realistic perception of adaptation (Oktaviani & Apriliyani, 2022). Hallucinations refer to phenomena when individuals experience sensory changes in response to stimuli that are objectively absent (Refnandes et al., 2023). The purpose of this paper is to determine and provide mental nursing care to Mrs. S with the main problem of sensory perception disorders: auditory hallucinations due to paranoid schizophrenia in the Dewaruci ward of dr. Amino Gondohutomo Mental Hospital, Central Java Province in accordance with nursing standards. The method used is a descriptive method in the form of interviews, observations, documentation studies, literature studies and literature. From the case review, it was found that the patient’s main complaint said “I heard a whisper telling me to leave the house, sis”. There are 4 nursing problems, namely the risk of violent behavior, sensory perception disorders: auditory hallucinations, social isolation and self-care deficits. Interventions are designed based on TUM and TUK and on the client’s condition and can be implemented.