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Intervensi Management Jalan Nafas Dalam Mengatasi Pola Nafas Tidak Efektif Di RSU Dr. Harjono Ponorogo Abimanyu, Anindito; Purwaningsih, Yustina; Purwaningsih, Endang; Hendrawati, Gandes Widya; Hartanto, Agung Eko
Tirtayasa Medical Journal Vol 3, No 2 (2024): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v3i2.25497

Abstract

Tuberculosis is a disease caused by infection with the bacteria Mycobacterium tuberculosis which can attack the lungs and other organs. Manifestations of TB are characterized by shortness of breath, coughing, increased sputum production so that TB sufferers can experience problems with ineffective breathing patterns due to airway obstruction. This study aims to carry out and analyze nursing care for TB patients with ineffective breathing pattern problems. Case study research method. Data collection techniques use interviews, observation, physical examination and documentation studies. Data collection instruments used observation sheets, interview methods, and nursing care formats. Based on the results of the assessment, complaints of shortness of breath accompanied by coughing were found. The nursing diagnosis determined was ineffective breathing pattern. Nursing intervention with airway management is implemented for 3 x 24 hours. The results of the evaluation on the 3rd day of treatment showed that the breathing pattern had improved, as indicated by no complaints of shortness of breath, no nostril breathing, no use of accessory muscles for breathing, normal breathing pattern with improved respiratory frequency, SpO2 98% and regular breathing rhythm. The conclusion is that the problem of ineffective breathing pattern nursing can be improved with airway management interventions. Airway management interventions can be carried out to overcome problems with ineffective breathing patterns
Afirmasi positif & Relaksasi Autogenik dalam mengatasi Ketidakberdayaan pasien DM tipe II Hartanto, Agung Eko; Elvareta, Nabella Syifa
Tirtayasa Medical Journal Vol 3, No 2 (2024): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v3i2.25500

Abstract

Diabetes Mellitus (DM) is a chronic disease that cannot be cured until now and requires sufferers to undergo long-term treatment. Prolonged physical problems experienced by people with type 2 diabetes mellitus and loss of self-control due to the absence of significant changes to heal make individuals feel helpless. Powerlessness if not overcome will lead to a psychosocial crisis that affects more severe psychiatric problems. This study aims to carry out nursing care for diabetes mellitus patients with helplessness at the South Ponorogo Health Center. This research is descriptive in the form of a case study. Powerlessness can be measured using a powerlessness questionnaire. The subject used was one respondent at the age of 54 years, suffering from type 2 diabetes mellitus since 6 years ago, moderate helplessness score, and cooperative. The results of this study showed that the main intervention was positive affirmation and autogenic relaxation therapy was performed on the first day, a score of 8 (moderate powerlessness) was obtained, while on the fourth day a score (low powerlessness) was obtained. Positive affirmation intervention and autogenic relaxation therapy is a combination that can help patients with diabetes mellitus reduce stress and improve the patient's mental well-being. The synergy of the two implementations that are carried out at each meeting, negative thoughts are changed through positive affirmations and autogenic relaxation therapy is effective in helping patients overcome the anxiety experienced by patients.
Intervensi Management Jalan Nafas Dalam Mengatasi Pola Nafas Tidak Efektif Di RSU Dr. Harjono Ponorogo Abimanyu, Anindito; Purwaningsih, Yustina; Purwaningsih, Endang; Hendrawati, Gandes Widya; Hartanto, Agung Eko
Tirtayasa Medical Journal Vol 3, No 2 (2024): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v3i2.25497

Abstract

Tuberculosis is a disease caused by infection with the bacteria Mycobacterium tuberculosis which can attack the lungs and other organs. Manifestations of TB are characterized by shortness of breath, coughing, increased sputum production so that TB sufferers can experience problems with ineffective breathing patterns due to airway obstruction. This study aims to carry out and analyze nursing care for TB patients with ineffective breathing pattern problems. Case study research method. Data collection techniques use interviews, observation, physical examination and documentation studies. Data collection instruments used observation sheets, interview methods, and nursing care formats. Based on the results of the assessment, complaints of shortness of breath accompanied by coughing were found. The nursing diagnosis determined was ineffective breathing pattern. Nursing intervention with airway management is implemented for 3 x 24 hours. The results of the evaluation on the 3rd day of treatment showed that the breathing pattern had improved, as indicated by no complaints of shortness of breath, no nostril breathing, no use of accessory muscles for breathing, normal breathing pattern with improved respiratory frequency, SpO2 98% and regular breathing rhythm. The conclusion is that the problem of ineffective breathing pattern nursing can be improved with airway management interventions. Airway management interventions can be carried out to overcome problems with ineffective breathing patterns
Afirmasi positif & Relaksasi Autogenik dalam mengatasi Ketidakberdayaan pasien DM tipe II Hartanto, Agung Eko; Elvareta, Nabella Syifa
Tirtayasa Medical Journal Vol 3, No 2 (2024): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v3i2.25500

Abstract

Diabetes Mellitus (DM) is a chronic disease that cannot be cured until now and requires sufferers to undergo long-term treatment. Prolonged physical problems experienced by people with type 2 diabetes mellitus and loss of self-control due to the absence of significant changes to heal make individuals feel helpless. Powerlessness if not overcome will lead to a psychosocial crisis that affects more severe psychiatric problems. This study aims to carry out nursing care for diabetes mellitus patients with helplessness at the South Ponorogo Health Center. This research is descriptive in the form of a case study. Powerlessness can be measured using a powerlessness questionnaire. The subject used was one respondent at the age of 54 years, suffering from type 2 diabetes mellitus since 6 years ago, moderate helplessness score, and cooperative. The results of this study showed that the main intervention was positive affirmation and autogenic relaxation therapy was performed on the first day, a score of 8 (moderate powerlessness) was obtained, while on the fourth day a score (low powerlessness) was obtained. Positive affirmation intervention and autogenic relaxation therapy is a combination that can help patients with diabetes mellitus reduce stress and improve the patient's mental well-being. The synergy of the two implementations that are carried out at each meeting, negative thoughts are changed through positive affirmations and autogenic relaxation therapy is effective in helping patients overcome the anxiety experienced by patients.
Asuhan Keperawatan pada Pasien Stroke Riwayat Penyakit Diabetes Mellitus dengan Gangguan Mobilitas Fisik Ernaningrum, Diah Ayu; Hartanto, Agung Eko; Wiratmoko, Heru
Tirtayasa Medical Journal Vol 4, No 1 (2024): November
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i1.28588

Abstract

Stroke is a neurological deficit that disrupts the blood supply to the brain can occur due to several pathological conditions including atherosclerosis. Diabetes mellitus is one of the causes of stroke where high blood glucose levels can accelerate atherosclerosis. One of the signs of stroke symptoms is a decrease in muscle strength which can lead to impaired physical mobility. One of the efforts to overcome is to train ROM. The purpose of the study was to determine how nursing care for stroke patients with a history of diabetes mellitus with impaired physical mobility.az The case study design in this study uses qualitative descriptive research with a case study approach. After carrying out nursing care for 7 days, the results of research on physical mobility disorders in Mr. P were obtained. P has improved as evidenced by using the MMT instrument on muscle strength, namely from scale 2 to scale 4 (mild physical mobility impairment). For the range of motion has increased, namely a scale of 25 to 46, which is from a range of motion enough to good. ROM training is very important because it affects muscle contraction and relaxation so that it can facilitate blood flow so as to increase muscle strength. Suggestions for stroke patients with a history of diabetes mellitus are expected to routinely do ROM exercises and do health checks, namely blood pressure and glucose levels.
Asuhan Keperawatan Dengan Masalah Ketidakpatuhan Minum Obat Karena Defisit Pengetahuan Pada Klien Diabetes Melitus Andani, Laila Fitri; Anjaswarni, Tri; Hartanto, Agung Eko
Tirtayasa Medical Journal Vol 4, No 1 (2024): November
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i1.28741

Abstract

Ketidakpatuhan minum obat pada klien diabetes melitus adalah kondisi dimana klien tidak menjalankan program pengobatan secara rutin hal ini berdampak pada peningkatan kadar gula darah. Peningkatan kadar gula darah secara ekstrem dapat menyebabkan komplikasi yang berbahaya antara lain terjadi hiperglikemi, koma diabetikum bahkan terjadi kematian, hingga manajemen pengobatan menjadi hal penting. Tujuan studi kasus ini melakukan asuhan pada klien yang mengalami ketidakpatuhan minum obat akibat defisit pengetahuan. Metode penelitian Karya Tulis Ilmiah ini menggunakan metode deskriptif dengan menggunakan pendekatan studi kasus. Hasil didapatkan dari pengkajian yaitu klien tidak mengetahui pengetahuan tentang penyakitnya dan rutin minum obat karena merasa bosan dan sering lupa. Setelah dilakukan asuhan keperawatan selama 6 hari terdapat peningkatan pengetahuan dengan angka 50 kategori pengetahuan kurang menjadi 70 kategori pengetahuan sedang, sedangkan tingkat ketidakpatuhan mengalami kenaikan dengan angka 7 kategori ketidakpatuhan rendah menjadi 1 kategori ketidakpatuhan sedang. Hal tersebut dipengaruhi oleh adanya edukasi tentang pendidikan kesehatan setiap kali pertemuan secara bertahap dengan materi terpisah yang dapat mempengaruhi kebiasaan klien.
Asuhan Keperawatan pada Pasien Stroke Riwayat Penyakit Diabetes Mellitus dengan Gangguan Mobilitas Fisik Ernaningrum, Diah Ayu; Hartanto, Agung Eko; Wiratmoko, Heru
Tirtayasa Medical Journal Vol 4, No 1 (2024): November
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i1.28588

Abstract

Stroke is a neurological deficit that disrupts the blood supply to the brain can occur due to several pathological conditions including atherosclerosis. Diabetes mellitus is one of the causes of stroke where high blood glucose levels can accelerate atherosclerosis. One of the signs of stroke symptoms is a decrease in muscle strength which can lead to impaired physical mobility. One of the efforts to overcome is to train ROM. The purpose of the study was to determine how nursing care for stroke patients with a history of diabetes mellitus with impaired physical mobility.az The case study design in this study uses qualitative descriptive research with a case study approach. After carrying out nursing care for 7 days, the results of research on physical mobility disorders in Mr. P were obtained. P has improved as evidenced by using the MMT instrument on muscle strength, namely from scale 2 to scale 4 (mild physical mobility impairment). For the range of motion has increased, namely a scale of 25 to 46, which is from a range of motion enough to good. ROM training is very important because it affects muscle contraction and relaxation so that it can facilitate blood flow so as to increase muscle strength. Suggestions for stroke patients with a history of diabetes mellitus are expected to routinely do ROM exercises and do health checks, namely blood pressure and glucose levels.
Asuhan Keperawatan Dengan Masalah Ketidakpatuhan Minum Obat Karena Defisit Pengetahuan Pada Klien Diabetes Melitus Andani, Laila Fitri; Anjaswarni, Tri; Hartanto, Agung Eko
Tirtayasa Medical Journal Vol 4, No 1 (2024): November
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i1.28741

Abstract

Ketidakpatuhan minum obat pada klien diabetes melitus adalah kondisi dimana klien tidak menjalankan program pengobatan secara rutin hal ini berdampak pada peningkatan kadar gula darah. Peningkatan kadar gula darah secara ekstrem dapat menyebabkan komplikasi yang berbahaya antara lain terjadi hiperglikemi, koma diabetikum bahkan terjadi kematian, hingga manajemen pengobatan menjadi hal penting. Tujuan studi kasus ini melakukan asuhan pada klien yang mengalami ketidakpatuhan minum obat akibat defisit pengetahuan. Metode penelitian Karya Tulis Ilmiah ini menggunakan metode deskriptif dengan menggunakan pendekatan studi kasus. Hasil didapatkan dari pengkajian yaitu klien tidak mengetahui pengetahuan tentang penyakitnya dan rutin minum obat karena merasa bosan dan sering lupa. Setelah dilakukan asuhan keperawatan selama 6 hari terdapat peningkatan pengetahuan dengan angka 50 kategori pengetahuan kurang menjadi 70 kategori pengetahuan sedang, sedangkan tingkat ketidakpatuhan mengalami kenaikan dengan angka 7 kategori ketidakpatuhan rendah menjadi 1 kategori ketidakpatuhan sedang. Hal tersebut dipengaruhi oleh adanya edukasi tentang pendidikan kesehatan setiap kali pertemuan secara bertahap dengan materi terpisah yang dapat mempengaruhi kebiasaan klien.
PENGARUH INTERVENSI RELAKSASI HIPNOSIS MODIFIKASI LIMA JARI TERHADAP TINGKAT KEPATUHAN MINUM OBAT PADA PASIEN DIABETES MELLITUS Purwaningsih, Yustina; Hartanto, Agung Eko; Hendrawati, Gandes Widya
Tirtayasa Medical Journal Vol 4, No 2 (2025): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i2.30629

Abstract

Diabetes mellitus is a chronic disease that requires treatment over a long period of time. Compliance with taking medication is key in lowering blood sugar levels. The problem of non-compliance with taking medication is a problem that often arises in diabetes patients and causes complications. This study aims to determine the effect of Five Finger Modification Hypnosis Relaxation on the level of compliance with taking medication in DM patients. The research method uses true experimental research with pre and post test designs carried out on 1 control group and 1 intervention group. The population is diabetes mellitus patients in Sukosari village, Kec. Kauman District Ponorogo numbered 50 people, and the sample used was 35 people. Five finger modified hypnosis relaxation intervention was carried out in the intervention group and deep breathing relaxation and health education in the control group. analyzed using the Wilcoxon formula, and the P Volume results were 0.000 < 0.05, meaning that there was an influence of the five finger modified hypnosis relaxation intervention on the level of adherence to taking medication for diabetes mellitus in Sukosari Village, Kec. Kauman, Kab. Ponorogo. The conclusion is that deep breathing modification hypnotic relaxation can increase patient compliance in taking medication.
PENGARUH INTERVENSI RELAKSASI HIPNOSIS MODIFIKASI LIMA JARI TERHADAP TINGKAT KEPATUHAN MINUM OBAT PADA PASIEN DIABETES MELLITUS Purwaningsih, Yustina; Hartanto, Agung Eko; Hendrawati, Gandes Widya
Tirtayasa Medical Journal Vol 4, No 2 (2025): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i2.30629

Abstract

Diabetes mellitus is a chronic disease that requires treatment over a long period of time. Compliance with taking medication is key in lowering blood sugar levels. The problem of non-compliance with taking medication is a problem that often arises in diabetes patients and causes complications. This study aims to determine the effect of Five Finger Modification Hypnosis Relaxation on the level of compliance with taking medication in DM patients. The research method uses true experimental research with pre and post test designs carried out on 1 control group and 1 intervention group. The population is diabetes mellitus patients in Sukosari village, Kec. Kauman District Ponorogo numbered 50 people, and the sample used was 35 people. Five finger modified hypnosis relaxation intervention was carried out in the intervention group and deep breathing relaxation and health education in the control group. analyzed using the Wilcoxon formula, and the P Volume results were 0.000 < 0.05, meaning that there was an influence of the five finger modified hypnosis relaxation intervention on the level of adherence to taking medication for diabetes mellitus in Sukosari Village, Kec. Kauman, Kab. Ponorogo. The conclusion is that deep breathing modification hypnotic relaxation can increase patient compliance in taking medication.