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All Journal Jurnal Medika Malahayati Jurnal Kesehatan An-Nuur
Kusmawati, Dessi
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Journal : Jurnal Kesehatan An-Nuur

 1 
PENERAPAN CONTRAST BATH PADA PASIEN GAGAL JANTUNG KONGESTIF YANG MENGALAMI HIPERVOLEMIA DI RUANG TERATAI RUMAH SAKIT TK. II 03.05.01 DUSTIRA Michelle Fitria Wawondatu, Meidy; Kusmawati, Dessi
Jurnal Kesehatan An-Nuur Vol 2 No 1 (2025): Jurnal Kesehatan An-Nuur
Publisher : Yayasan Putra Sukamanah Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71023/jukes.v2i1.20

Abstract

Based on Riskesdas data in 2018, the prevalence of heart disease in Indonesia is around 1,017,290 population. Congestive heart failure is a condition in which the heart is unable to pump blood throughout the body properly. Signs of symptoms that usually appear are dyspnea and edema, where edema is a buildup of fluid or hypervolemia in several organs of the body. If not treated immediately can cause complications in the form of cardiogenic shock, thrombolytic episodes and pericardial effusion or cardiac tamponade. One of the non-pharmacological management that can be done to overcome hypervolemia is a contrast bath. Contrast bath is a treatment by soaking the feet in warm water, followed by cold water alternately. The temperature of the warm water used is 36,6 – 43,3 °C and the temperature of cold water is 10 - 20 °C. This case study aims to illustrate nursing care with the application of contrast bath in congestive heart failure patients who have hypervolemia. This type of case study method used a descriptive method with 1 patient with inclusion criteria for congestive heart failure patients who have lower extremity edema. The assessment showed that the patient felt tight and there was edema of the lower extremities, so that the nursing diagnosis that was established was hypervolemia with the implementation of the application of contrast bath carried out 3 times a day for 2 consecutive days with a time of 15 minutes once an action. The results of the case study of the application of contrast bath showed that there was a decrease in the degree of edema in both lower extremities which was originally at a degree of +3, to a degree of +2 after the intervention. It can be concluded that this contrast bath can overcome hypervolemia in congestive heart failure patients, the author also recommended to patients and families to perform this intervention independently.
LATIHAN MENELAN PADA PASIEN STROKE DENGAN GANGGUAN MENELAN DI RUANG KENANGA RUMAH SAKIT TK II DUSTIRA CIMAHI Dewi Safariah, Triana; Kusmawati, Dessi; Nur Salwa, Dita
Jurnal Kesehatan An-Nuur Vol 2 No 1 (2025): Jurnal Kesehatan An-Nuur
Publisher : Yayasan Putra Sukamanah Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71023/jukes.v2i1.18

Abstract

The prevalence of stroke at Dustira Hospital is 124 people. Stroke is a sudden neurological function deficit caused by a disturbance in cerebral blood circulation. One of its signs and symptoms is swallowing disorder. If swallowing exercises are not performed, complications such as aspiration pneumonia may occur. Swallowing exercises are a type of therapy designed to improve swallowing ability by focusing on strengthening muscles and enhancing the coordination of nerves and muscles involved in the swallowing process. This case study uses a descriptive method to illustrate nursing care for stroke patients experiencing swallowing disorders. The instruments used include the standard operating procedure for swallowing exercises and an observation sheet before and after the exercises. The assessment results showed that the patient had difficulty moving the tongue to the right, left, and upward, impaired swallowing reflexes, slurred speech, and frequent choking while eating or drinking, leading to the nursing diagnosis of swallowing disorder. Swallowing exercises were conducted three times a day for seven days, with each session lasting 30 minutes. The evaluation of this case showed that the swallowing disorder initially had a swallowing reflex score of 3 (moderate), which improved to 4 (fair improvement) after the intervention. It is concluded that swallowing exercises can improve the swallowing reflex in stroke patients with swallowing disorders. It is hoped that these exercises can be applied by hospitals, patients, and families independently.
Co-Authors Dewi Safariah, Triana Michelle Fitria Wawondatu, Meidy Novi Malisa, Novi Nur Salwa, Dita