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Pemenuhan Kebutuhan Eliminasi Pada Inkontinensia Urine Dengan Kegel Exercise Di UPT Pelayanan Sosial Lanjut Usia Binjai Elsa Refany; Resmi Pangaribuan; Jemaulana Tarigan
MAHESA : Malahayati Health Student Journal Volume 1 Nomor 3 September 2021
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (216.06 KB) | DOI: 10.33024/mahesa.v1i3.5049

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ABSTRACT: FULFILLMENT OF URINE INCONTINENCE NEEDS FOR ELIMINATION WITH KEGEL EXERCISE AT BINJAI ELDERLY SOCIAL SERVICE UPT Background: Urinary incontinence means the spontaneous expulsion of urine at any time against the will (involuntary). Elderly is the process of slowly losing the ability of tissues to repair themselves/replace and maintain their normal function.Purpose: Kegel exercises are exercises to strengthen the pelvic muscles or exercises that aim to strengthen the pelvic floor muscles, especially the pubococcygeal muscles so that a woman can strengthen the urinary tract muscles.Methods: This research method is descriptive with a nursing process approach. The subject of the study was conducted on 2 patients with the same case, namely in patients who experienced urinary incontinence.Results: The results of the urinary incontinence assessment were associated with decreased bladder and detrusor muscle tone. The nursing interventions and implementation are monitoring the pattern and ability to urinate, identifying the causes of urinary incontinence, explaining the definition, types, and causes of urinary incontinence, recommending limiting fluid consumption 2-3 hours before bedtime, encouraging clients to do Kegel exercises and collaborating with medical and physiotherapists to overcome urinary incontinence. Kegel exercises were carried out in stages to the patient 2 days a day, morning and evening.Conclusion: The evaluation was carried out for 3 days and the results were that the patient was able to urinate and was controlled. The research is expected that the elderly UPT Binjai will improve more skills and always coordinate with other health teams in providing nursing care in accordance with Standard Operating Procedures (SOP). Keywords: Elimination Needs, Urinary Incontinence, Kegel Exercises INTISARI: PEMENUHAN KEBUTUHAN ELIMINASI PADA INKONTINENSIA URINEDENGAN KEGEL EXERCISE DI UPT PELAYANAN SOSIAL LANJUT USIA BINJAI Latar Belakang: Inkontinensia urin berarti pengeluaran urin secara spontan pada sembarang waktu diluar kehendak (involunter). Lansia adalah proses hilangnya secara perlahan-lahan kemampuan jaringan untuk memperbaiki diri/mengganti dan mempertahankan fungsi normalnya.Tujuan: Senam kegel adalah senam untuk menguatkan otot panggul atau senam yang bertujuan untuk memperkuat otot-otot dasar panggul terutama otot pubococcygeal sehingga seorang wanita dapat memperkuat otot-otot saluran kemih.Metode: Metode penelitian ini adalah deskriptif dengan pendekatan proses Keperawatan. Subjek penelitian dilakukan pada 2 orang pasien dengan kasu yang sama yaitu pada pasien yang mengalami inkontinensia urin.Hasil: Hasil pengkajian inkontinensia urin berhubungan dengan penurunan tonus kandung kemih dan otot detrusor. Intervensi dan implementasi keperawatanya itu memonitor pola dan kemampuan berkemih, mengidentifikasi penyebab inkontinensia urine, menjelaskan definisi, jenis dan penyebab inkontinensia urine, menganjurkan membatasi konsumsi cairan 2-3 jam menjelang tidur, menganjurkan klien untuk senam kegel dan melakukan kolaborasi dengan medis dan fisioterapi untuk mengatasi inkontinensia urine. Senam kegel dilakukan secara bertahap kepada pasien 2 hari sehari pagi dan sore hari.Kesimpulan: Evaluasi dilakukan selama 3 hari dan  didapatkan hasil yaitu pasien dapat berkemih dan dikontrol. Penelitian diharapkan UPT lanjut usia Binjai meningkatkan keterampilan yang lebih dan selalu berkoordinasi dengan tim kesehatan lainnya dalam memberikan asuhan keperawatan sesuai dengan Standart Operasional Prosedur (SOP). Kata Kunci: Kebutuhan Eliminasi, InkontinensiaUrin, Senam Kegel
PENGARUH PERAWATAN DAERAH PEMASANGAN INFUS TERHADAP KEJADIAN PHLEBITIS DI RS KOTA KISARAN Khairunnisa Batubara; Henrianto Karolus Siregar; Elvipson Sinaga; Resmi Pangaribuan
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 4 No. 2 (2021): November 2021
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v4i2.1124

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Pada pasien rawat inap, pemasangan infus atau kateter vena perifer merupakan prosedurinvasif yang paling sering dilakukan. Pasien yang menerima terapi intravena selamadirawat di rumah sakit diperkirakan sekitar setengah dari keseluruhan pasien. Lebih dari90% pasien di rumah sakit menerima terapi intra vena melalui beberapa alat intravena(Chang & Peng, 2018). Komplikasi yang paling sering terjadi akibat terapi intravena yangditandai dengan pembengkakan, kemerahan, infiltrasi (kebocoran cairan dari vena),demam, nyeri, infeksi kulit lokal, dan infeksi aliran darah adalah phlebitis (Mihala et al.2018). Kemenkes RI (2017) menyatakan bahwa phlebitis adalah ditemukannya tanda-tanda kemerahan seperti terbakar, adanya pembengkakan, adanya rasa sakit apabiladilakukan penekanan, adanya ulkus sampai eksudat purulen atau keluarnya cairan jikaditekan pada daerah lokal tusukan infus.
Pendidikan Kesehatan Kepatuhan Minum Obat Pada Lansia Dengan Diabetes Melitus Tipe II Di UPT Pelayanan Sosial Lanjut Usia Binjai Sio Citra Manurung; Resmi Pangaribuan; Jemaulana Tarigan
Malahayati Nursing Journal Volume 3 Nomor 4 Tahun 2021
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (234.416 KB) | DOI: 10.33024/mnj.v3i4.5032

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ABSTRACT: HEALTH EDUCATION ON MEDICINE COMPLIANCE IN THE ELDERLY WITH DIABETES MELLITUS TYPE II AT THE UPT PELAYANAN SOSIAL LANJUT USIA BINJAI  Introduction: The world organization predicted the increase number of people with diabetes mellitus from 8.4 million in 2000 to around 21.3 million in 2030. Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia that occur due to the abnormalities in insulin secretion, insulin action, or both. The aging process is continuous and natural experienced by all the living things. The adherence of type 2 Diabetes Mellitus patients is generally defined as the level of behavior of a person receiving treatment to follow the diet plan, take medication and carry out a lifestyle in accordance with the recommendations of health care providers.Health education is aimed to help people take control of their own health by influencing, enabling and reinforcing the decision or action according to their own values and goals. Method: The study used descriptive case study method by carried out 2 patients as the subject. The results of the study found that the patients had the lack of knowledge about the need for drug compliance related to non-adherence to taking the medication. Result: The intervention and implementation were implemented by conducting the health education on medication adherence in stages with the results obtained that the patient appeared to take the drug on time and their blood sugar level was within the normal range. Conclusion: By conducting the health education about medication adherence for the elderly for 3 days, it could increase the knowledge and change their obedience behavior and follow the rules of taking the medication. Keywords: Lack of Knowledge, Diabetes Mellitus, Health Education, Elderly, Medication Adherence.  INTISARI: PENDIDIKAN KESEHATAN KEPATUHAN MINUM OBAT PADA LANSIA DENGAN DIABETES MELITUS  TIPE II DI UPT  PELAYANAN SOSIAL LANJUT USIA BINJAI  Latar Belakang: Organisasi dunia  memprediksi kenaikan jumlah penyandang Diabetes Melitus dari 8,4 juta pada tahun 2000 menjadi sekitar 21,3 juta pada tahun 2030. Diabetes  Melitus  merupakan  suatu kelompok penyakit  metabolik dengan karaktersistik hiperglikemia yang terjadi karena kelainan sekresi insulin, kerja insulin atau kedua duanya. Proses menua yaitu proses yang terus-menerus kelanjutan secara alamiah dan dialami oleh semua makhluk hidup. Kepatuhan pada pasien Diabetes Melitus  tipe 2 secara umum di definisikan sebagai tingkatan perilaku seseorang yang mendapatkan pengobatan untuk menjalankan diet, minum obat dan melaksanakan gaya hidup sesuai dengan rekomendasi pemberi pelayanan kesehatan. Pendidikan kesehatan bertujuan untuk membantu orang-orang mengontrol kesehatan mereka sendiri dengan mempengaruhi, memungkinkan dan menguatkan keputusan atau tindakan sesuai dengan nilai dan tujuan mereka sendiri.Metode: yang digunakan adalah  deskriptif studi kasus. Subjek penelitian dilakukan pada kedua pasien.Hasil: Hasil pengkajian diperoleh kurang pengetahuan tentang kebutuhan kepatuhan minum obat berhubungan dengan ketikdakpatuhan minum obat, intervensi dan implementasi adalah melakukan pendidikan kesehatan kepatuhan minum obat secara bertahap dengan hasil yang diperoleh klien tampak meminum obat tepat waktu dan  kadar gula darah dibatas normal.Kesimpulan: Dengan dilakukannya pendidikan kesehatan tentang kepatuhan minum obat kepada lansia selama 3 hari dapat meningkatkan pengetahuan dan dapat mengubah perilaku lansia menjadi patu dan mengikuti aturan minum obat. Kata kunci: Kurang pengetahuan, diabetes mellitus, pendidikan kesehatan, lansia, kepatuhan minum obat 
FAKTOR-FAKTOR YANG MEMPENGARUHI PRAKTIK PEMBERANTASAN SARANG NYAMUK DI LINGKUNGAN TANJUNG REJO MEDAN SUNGGAL Astuti Rofida; Resmi Pangaribuan; Khairunnisa Batubara
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 5 No. 2 (2021): Oktober 2021
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v5i2.2531

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Dengue Hemorrhagic Fever is a viral disease carried by mosquitoes and usually occurs in tropical and subtropical areas. A person infected with this virus for the second time has a much greater risk of severe illness. Symptoms can include fever, rash, and muscles and joints. In severe cases, bleeding and shock can be life-threatening. Handling can be done by giving adequate fluids and pain relievers. Severe cases must be hospitalized. Tanjung Rejo village is one of the dengue endemic villages in Medan Sunggal sub-district. One of the most appropriate efforts in preventing and eradicating mosquitoes is by eradicating mosquito nests. The purpose of this study was to determine the factors that influence the practice of eradicating mosquito nests in the Tanjung Rejo Village, Medan Sunggal District. This type of research is Explantory Research with research population of 451 people and the number of samples is 82 people. This research instrument using a questionnaire with analysis using the chi-sguare statistical test with a degree of significance (α) = 0.01. The results showed that there was a relationship between knowledge (p = 0.000), attitude (p = 0.000) education (p = 0.275), occupation (p = 0.572), support from health workers (p = 0.000), and family support (p = 0.000), the results of the multivariate show that the p-value is 0.00 <0.01 then there is an influence on the practice of eradicating mosquito nests in the Tanjung Rejo environment, Medan Sunggal. Suggestions for the community to further improve the practice of eradicating dengue mosquito nests, and for health workers to send information continuously and continuously.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN HIPERTENSI PADA PASIEN LANJUT USIA YANG BEROBAT DI POLIKLINIK PENYAKIT DALAM RUMAH SAKIT TK. II PUTRI HIJAU MEDAN Resmi Pangaribuan
Excellent Midwifery Journal Vol 3, No 1 (2020): EDISI APRIL
Publisher : STIKes Mitra Husada Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (471.517 KB) | DOI: 10.55541/emj.v3i1.112

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Hypertension is a disease with signs of systolic and diastolic blood pressure disorders that rise above normal blood pressure. Systolic blood pressure (numbers above) is the peak pressure that is reached when the heart contracts and pumps blood out through the arteries. Diastolic blood pressure is taken when the pressure falls to the point lowest when the heart relaxes and fills the blood again. Diastolic blood pressure is noted when the sound is not heard. The high level of hypertension in the Polyclinic at Putri Medan Hospital TK  II in Medan is thought to be related to risk factors including age, sex, weight, genetic and lack of exercise.The purpose of this study was to determine the factors associated with the incidence of hypertension in the elderly in the Internal Medicine Polyclinic at Putri Hijau Hospital, Medan. This research is an analytic survey with cross sectional approach. The research sample was hypertension sufferers who went to the Internal Medicine Polyclinic at Putri Hijau Hospital, Medan. The study was taken by means of non random sampling using accidental sampling technique. Data was collected by questionnaire and physical examination in the form of measurements of body weight, height and blood pressure.Bivariate analysis results found that the p value <(0.05) is the age variable (0.010), and exercise (0.033). While the p value> (0.05) is gender (0.217), genetic (0.067), and weight (0.281). Based on the results of the study, it is recommended to sufferers and families to always maintain a healthy diet and live a healthy lifestyle, maintain body weight, the importance of controlling blood pressure. and to health workers, especially in the Internal Medicine Polyclinic at Putri Hijau Hospital in 2019, Medan always provides guidance and counseling in increasing information about hypertension in the elderly, its complications and treatment.
PENGARUH MEDIA PENDIDIKAN KESEHATAN TERHADAP PENGETAHUAN BANTUAN HIDUP DASAR (BHD) (Studi Eksperimen Pada Perawat Pelaksana di Rumah Sakit TK. II Putri Hijau Medan Tahun 2017) Resmi Pangaribuan; Mindo Tua Siagian; Asima Sirait
JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Vol 3, No 1 (2018): Mei 2018
Publisher : Prodi Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UIN Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (581.053 KB) | DOI: 10.30829/jumantik.v3i1.1424

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ABSTRACT Emergency situation can occur wherever and whenever; it is the duty of health care providers to handle them. Death is usually caused bythe inability of health care providers to handle patients in the emergency situation (golden period)What is called by BHD (Basic Life Aid) is an attempt to keep the airway open, maintaining respiration, and circulation without any auxiliary apparatus. It is done by recognizing accurately the stop of heart beat and immediately gives circulation or ventilation aid. The objective of the research was to find out the influence of health education media on the knowledge of BHD; an experimental study on nurse practitioners at Putri Hijau Level II Hospital, Medan.The research used experimental analytic method with two group posttest design. The population was 110 nurse practitionerswho did not have certificates from BHD training. The data were gathered by using independent t-test. The result of the research showed that, statistically, audio visual and pantomime media had the influence on the increase in nurse practitioners’ knowledge of BHD. The result of independent t-test showed that pantomime was more effective than audio visual in increasing nurse practitioners’ knowledge of BHD. It is recommended that nurses increase their knowledge of BHD in immediately helping patients who need emergency aid and be ready in every emergency situation. The Head of the hospital should be wise in health education, increase nurse practitioners’ knowledge by providing counseling about BHD, using pantomime media. Keywords: Health Education Media, Knowledge, BLS (Basic Life Support)  
Exclusive Breastfeeding Based On The Characteristics Of Breastfeeding Mothers In Kutelintang Village, Belangkejeren District, Gayo Lues Regency Khairunnisa Batubara; Resmi Pangaribuan
Jurnal Kesehatan LLDikti Wilayah 1 (JUKES) Vol. 1 No. 1 (2021): April: Health Science
Publisher : LLDIKTI Wilayah 1

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54076/jukes.v1i1.28

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Exclusive breastfeeding is one way to obtain good growth and development of infants. Because milk contains all the essential nutrients that babies need for growth and development and contains antibodies to the baby's immune. The purpose of this study was to determine the relationship of the characteristics of nursing mothers to exclusive breastfeeding in the village Kutelintang Belangkejeren District of Gayo Lues District. This research is an analytical method with a sample size of 19 people. The instrument in this research is a questionnaire that contains the characteristics of nursing mothers and 7 the question of exclusive breastfeeding. The results showed that as much as 44.6% with sig. 0.027 this can be seen from the characteristics of the mother's relationship with breastfeeding simultaneously. And after statistical analysis test using Pearson chi square it was found that there was no significant relationship between the age of breastfeeding mothers and exclusive breastfeeding (p = 0.291). However, there was a significant relationship between the education level of breastfeeding mothers and exclusive breastfeeding and exclusive breastfeeding (p = 0.007). From the results of this study are expected to be useful for nursing mothers, researchers and for society kutelintang village in order to improve and provide counseling tentangg benefits of exclusive breastfeeding.
Edukasi tentang Tindakan Pertolongan Pertama pada Kecelakaan (Firs Aid) pada Siswa Kelas Ix di Smp Tunas Karya Batang Kuis Resmi Pangaribuan; Evamona Sinuraya
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 9 (2022): Volume 5 No 9 September 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i9.6358

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ABSTRAK Umumnya kecelakaan terjadi secara tiba-tiba, tanpa diduga sebelumnya dan akibat yang ditimbulkan sangat bervariasi, bisa berupa cedera ringan, sedang, berat, bahkan sampai meninggal dunia. Berdasarkan jumlah korban, kecelakaan bisa terjadi dengan satu korban, banyak korban (musibah) atau sangat banyak korban (bencana). Kejadian kecelakaan di sekaolah sangat beragam, misalnya anak terpeleset yang menyebabkan luka robek atau memar, keracunan makanan, tersedak makanan, pingsan dan lain-lain. Dalam hal kecelakaan di sekolah maka guru atau siswa yang seharusnya memberikan pertolongan pertama. Memberikan pengetahuan dan kemampuan siswa dalam meningkatkan dan melakukan pertolongan first aid. Dilakukan dengan beberapa tahapan yaitu: melakukan Sosialisasi, pemaparan materi dan melaksanakan kegiatan pelatihan, dengan metode transfer ilmu dan mempraktekkan cara melakukan pertolongan pertama pada kecelakaan (first aid). Metode  yang dilakukan dalam pengabdian masyarakat ini adalah secara tatap muka. Jumlah peserta edukasi tentang pertolongan pertama pada kecelakaan (first aid): 55  Orang. Setelah dilakukan edukasi diperoleh hasil Pengetahuan baik sebanyak 36 orang (65,5%), pengetahuan cukup sebanyak 19 orang (34,5%) dan pengetahuan kurang sebanyak tidak ada. Semua siswa diberi edukasi dan adanya peningkatan pengetahuan, hal ini dibuktikan dengan hasil pre test dan post test. Dengan dilakukannya edukasi dapat meningkatkan pengetahuan siswa kelas IX tentang Pertolongan Pertama pada kecelakaan di sekolah. Kata Kunci: Pertolongan Pertama pada Kecelakaan, Edukasi, Siswa Selas IX.  ABSTRACT In general, accidents occur suddenly, without being forgotten beforehand and the consequences are very varied, can be in the form of minor, moderate, severe injuries, and even death. Based on the number of victims, accidents can occur with one victim, many victims (disaster) or very many victims (disaster). The incidence of accidents in schools is very diverse, for example a child slips causing cuts or bruises, food poisoning, choking on food, fainting and others. In an accident at school, it is the teacher or student who should provide first aid. To provide students' knowledge and abilities in improving and performing first aid. Carried out in stages, namely: conducting socialization, presenting material and implementing training, using knowledge transfer methods and practicing how to do some first aid in accidents (first aid). The method used in this community service is face-to-face. The number of participants of the health instructor regarding first aid in an accident (first aid): 55 people. 36 people (65.5%), good knowledge 10 people (18.2%) and poor knowledge as many as 9 people (16.4%). Education can increase the knowledge of class IX students about First Aid in accidents at school. Keywords: First Aid for Accidents, Education, Class IX Students.
Pemenuhan Rasa Aman Nyaman Nyeri Pada Osteoarthritis Dengan Senam Reumatik Di UPT Pelayanan Lanjut Usia Binjai Fourina Gultom; Resmi Pangaribuan; Jemaulana Tarigan
MAHESA : Malahayati Health Student Journal Vol 2, No 4 (2022): Volume 2 Nomor 4 (2022)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (217.852 KB) | DOI: 10.33024/mahesa.v2i4.7263

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ABSTRACT The cessation of functional joints limits physical activity in the elderly, and it causes a decrease in quality of life. Physical exercise is the promotive action to prevent and relieve pain by implementing exercise for osteoarthritis. Osteoarthritis is the leading cause of musculoskeletal pain and can result in loss of joint movements such as the weight-bearing joints of the hips, knees, vertebrae and shoulders, finger joints, and ankles. Patients with osteoarthritis usually experience joint pain that persists for a long time. The pain is severe and limits the patient's mobility. The persistent pain can permanently stop the functions of joints. The study aimed to determine the implementation of nursing care in patients with osteoarthritis by providing a nursing diagnosis of impaired fulfillment of sense comfort (pain) using exercise for osteoarthritis. The method used a descriptive case study. The subjects of the study were conducted on 2 patients with the fulfillment of a sense of comfort (pain) in patients with osteoarthritis by using exercise for osteoarthritis. The results of the study showed that exercise for osteoarthritis could reduce pain. Keywords: Pain, Fulfillment, Osteoarthritis, Elderly ABSTRAK Penghentian fungsional sendi dapat membatasi aktivitas fisik lansia, selanjutnya lansia mengalami penurunan dari quality of life sehingga adanya latihan fisik merupakan tindakan promotif sebagai upaya untuk mencegah dan meringankan nyeri serta berfungsi sebagai terapi tambahan salah satu latihan fisik yaitu senam osteoarthritis. Osteoarthritis merupakan penyebab utama dari nyeri musculoskeletal dan dapat mengakibatkan hilangnya pergerakan sendi seperti mengenai sendi penopang berat badan yaitu pada panggul, lutut, vertebra dan bahu, sendi jari tangan, dan pergelangan kaki. Penderita Osteoartritis biasanya merasakan nyeri sendi yang berlangsung lama/kronik dan menetap. Rasa sakit yang berat dan membatasi mobilitas pasien. Nyeri yang bertahan lama dapat menghentikan secara permanen fungsional sendi. Penelitian ini bertujuan untuk mengetahui penerapan asuhan keperawatan pada pasien yang mengalami osteoarthritis dengan diagnose keperawatan gangguan pemenuhan rasa aman nyaman nyeri pada osteoarthritis dengan senam osteoarthritis. Metode Penelitian ini yang digunakan adalah deskriptif studi kasus . Subjek Penelitian dilakukan pada 2 pasien dengan masalah keperawatan yang sama yaitu pemenuhan rasa aman nyaman nyeri pada pasien osteoarthritis dengan senam osteoarthritis. Hasil Penelitian setelah dilakukan tindakan keperawatan terhadap pasien kedua pasien yaitu Senam Osteoarthritis diperoleh hasil Senam Osteoarthritis dapat mengurangi nyeri pada penderita penyakit Osteoartritis. Kata Kunci: Pemenuhan Rasa Aman Nyeri, Osteoarthritis, Lansia
Penyakit Paru Obstruktif Kronis (PPOK) dengan Fisioterapi Dada di UPT Pelayanan Lanjut Usia Binjai Hamdan Hamdan; Resmi Pangaribuan; Jemaulana Tarigan
MAHESA : Malahayati Health Student Journal Vol 3, No 1 (2023): Volume 3 Nomor 1 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (214.84 KB) | DOI: 10.33024/mahesa.v3i1.8564

Abstract

ABSTRACT Manual breathing Chronic Obstructive Pulmonary Disease (COPD) is a disease characterized by airway limitations that are not fully reversible. According to the 2015 WHO World Health Organization, it is estimated that by 2020 the prevalence of COPD will increase from sixth to third in the world as the most common cause of death after cardiovascular disease and cancer. This study aims to describe gerontic nursing care for patients with chronic obstructive pulmonary disease (COPD) with chest physiotherapy at UPT Social Services for Elderly People in Binjai. This research is a descriptive study with a case study design conducted on two patients with the same diagnosis, namely COPD with chest physiotherapy. This study uses a nursing process approach which includes the following stages: Assessment, nursing diagnosis, intervention, implementation and evaluation. In case 1 and case 2 nursing problems with respiratory disorders, the results obtained were that the client said he could breathe freely by doing chest physiotherapy, the client seemed relaxed. After the researchers conducted a case study on elderly clients with COPD at the Binjai Elderly Social Service UPT, the researchers could conclude that the problem was resolved by giving chest physiotherapy. Keywords: Gerontic Nursing Care, Chronic Obstructive Pulmonary Disease, Chest Physiotherapy. ABSTRAK Pernapasan manual Penyakit Paru Obstruktif Kronik (PPOK) merupakan penyakit dengan karakteristik keterbatasan saluran nafas yang tidak sepenuhnya reversible. Menurut Word Health Organization WHO tahun 2015 memperkirakan pada tahun 2020 prevalensi PPOK akan meningkat dari urutan keenam menjadi peringkat ketiga di dunia sebagai penyebab kematian tersering setelah penyakit kardiovaskuler dan kanker. Penelitian ini bertujuan untuk mendeskripsikan asuhan keperawatan gerontik pada pasien penyakit paru obstruktif kronik (PPOK) dengan fisioterapi dada di UPT Pelanyanan Sosisal Lanjut  Usia Binjai. Penelitian ini merupakan penelitian deskriptif dengan rancangan studi kasus yang dilakukan pada dua orang pasien dengan diagnosa yang sama yaitu PPOK dengan Fisioterapi dada. Penelitian ini menggunakan pendekatan proses keperawatan meliputi tahapan sebagai berikut: Pengkajian, Diagnosa keperawatan, intervensi, Implementasi dan evaluasi.  Pada kasus 1 dan kasus 2 masalah keperawatan dengan gangguan pernafasan, diperoleh hasil klien mengatakan dapat bernafas dengan lega dengan dilakukannya fisioterapi dada, klien tampak rileks. Setelah peneliti melakukan studi kasus pada klien lansia dengan PPOK di UPT Pelayanan Sosial Lanjut Usia Binjai, maka peneliti dapat menyimpulkan masalah teratasi dengan pemberian Fisioterapi dada. Kata Kunci: Asuhan Keperawatan Gerontik, Penyakit Paru Obstruktif Kronis, Fisioterapi Dada
Co-Authors ade Putri Ramadhani Alfi syahrin Allyah Annisa Almina Rospitaria Tarigan Amelia Kartika Putri Amin, Hadriyani Antika, Rindi Aritonang, Richardo Hasudungan Ariyanti, Ika Arni Juwita Arta Siahaan Astuti Rofida Atsnia Ayu Wandari Barasa, Dita Cinsih Rotua Lubis Diana Lase Dinda Yovanda Djafar, Tanwir Doni Matondang Dwi Pasma Elis Anggeria Elsa Arwand Elsa Refany Elvipson Sinaga Erita Gustina Evamona Sinuraya Ezra Inawati Barus Fentiana, Nina Firdayani Sianturi Fourina Gultom Gea, Handerman Vitu Ginting, Iir tirana a. Girsang, Ermi Grhasta Dian Perestroika Hamdan Hamdan Hanna M. Karo Karo Hanna Maria Sirega Hasudungan, Richard Henrianto Karolus Siregar Heri Siswanto Herniyatun, Herniyatun Heryn Tiwa Novelin T Hotman Geovani Siahaan Ika Ariyanti Immanuel. T Indri Greace Naibaho Jemaulana Tarigan Jemaulana Tarigan Jemaulana Tarigan Jemaulana Tarigan Jemaulana Tarigan Jemaulana Tarigan Juwita, Arni Khairani, Ade Irma Khairunnisa Batubara Kimberley Maharani Maulibulung Hutapea Kusumawardani, Emi Laila Nazmi Putri Nasution Lellu, Amos Lisa Ariana Marliani Marliani Melinda Ayu Pratiwi Miftak Nurmaula Dewi Mindo Tua Siagian Muchti Yuda Pratama Muhammad Untung Ritonga Nadia Maulina Natasya Sianipar Nengsi Rajagukguk Nina Olivia Purba, Josia Purwaningsih R. Sri Rezeki Sijabat Raden Bagus Edy Santoso Rani Valencia Bangun Renarti Panjaitan Rindiani, Rindiani Saharman Gea Sari, Putri Nanda Sefriwan Zebua Siagian, Mindo Tua Simangunsong, Roida Kharlina Simorangkir, Nadya Sio Citra Manurung Sirait, Asima Siregar, Hanna Maria Sonia Angelina Sonia Anjelina SULISTIYANI SULISTIYANI Tantiyani Barus Tarigan, Almina Rospitaria Tarigan, Jemaulana Virginia Syafrinanda Yuri Sutri Manjani