Cahaya Artha Anastasia Gultom
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Asuhan Keperawatan Pada Tn. K Dengan Closed Fracture Pelvic Post ORIF di Rumah Sakit Umum Pusat Haji Adam Malik Cahaya Artha Anastasia Gultom; Dudut Tanjung; Edianto Edianto; Dina Afriani; Saodah Hanin
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 1 (2025): VitaMedica : Jurnal Rumpun Kesehatan Umum 
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v3i1.264

Abstract

Background: Pelvic fractures are common injuries resulting from high-energy trauma, such as traffic accidents or falls from height. These injuries can cause decreased mobility function, pain, and risk serious complications. A common treatment that can be done is Open Reduction Internal Fixation (ORIF) to improve bone stability and patient mobility function. Objective: this study is to provide nursing care for patients with post-ORIF pelvic fractures to improve nursing outcomes, including pain management, physical mobility, and skin integrity. Methods: This study used a case report approach where the source of research data came from interviews, observations, physical examinations, and patient documentation. Nursing care was organized based on the Indonesian Nursing Diagnosis Standards (SDKI), Indonesian Nursing Intervention Standards (SIKI), and Indonesian Nursing Outcome Standards (SLKI). Results: After the intervention, the patient showed a decrease in pain from scale 6 to scale 3 with the use of PMR. Improved physical mobility was observed through regular ROM exercises, and skin integrity was maintained with position changes and routine wound care. No complications occurred post intervention. Conclusion: Comprehensive nursing care in patients with post-ORIF pelvic fractures can accelerate healing and reduce the risk of complications. Integrated interventions, including pain management, mobility, and skin care, play an important role in supporting patient recovery. The nurse's role in observation and collaboration with the medical team is essential to improve patient outcomes and quality of life.
Efektivitas Relaksasi Autogenik Terhadap Tingkat Kecemasan pada Pasien Kanker Payudara yang Menjalani Kemoterapi di Rumah Sakit Murni Teguh Medan Cahaya Artha Anastasia Gultom; Nasution, Siti Zahara; Bukit, Evi Karota
Jurnal Ners Vol. 9 No. 3 (2025): JULI
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47689

Abstract

ABSTRAK Kecemasan merupakan respons psikologis yang umum dialami oleh pasien kanker payudara selama menjalani kemoterapi, yang dapat berdampak negatif terhadap kualitas hidup dan keberhasilan terapi. Salah satu intervensi non-farmakologis yang dapat digunakan untuk mengurangi kecemasan adalah relaksasi autogenik. Penelitian ini bertujuan untuk mengevaluasi efektivitas relaksasi autogenik terhadap tingkat kecemasan pada pasien kanker payudara yang menjalani kemoterapi di Rumah Sakit Murni Teguh Medan. Penelitian ini menggunakan desain quasi eksperimen dengan pendekatan pretest-posttest control group. Jumlah sampel sebanyak 64 responden yang dibagi ke dalam dua kelompok, yaitu kelompok intervensi dan kelompok kontrol, masing-masing terdiri dari 32 orang. Intervensi relaksasi autogenik diberikan selama 15–20 menit selama tiga hari berturut-turut. Pengukuran kecemasan dilakukan dengan menggunakan kuesioner Zung Self-Rating Anxiety Scale (ZSAS). Hasil analisis menunjukkan adanya penurunan signifikan tingkat kecemasan pada kelompok intervensi dibandingkan kelompok kontrol. Hasil ini menunjukkan bahwa relaksasi autogenik efektif digunakan sebagai intervensi keperawatan mandiri dalam mengurangi kecemasan pasien kanker payudara yang menjalani kemoterapi. Kata Kunci: relaksasi autogenik, kecemasan, kanker payudara, kemoterapi ABSTRACT Anxiety is a common psychological response experienced by breast cancer patients undergoing chemotherapy, often affecting their quality of life and treatment adherence. One non-pharmacological intervention that can reduce anxiety is autogenic relaxation. This study aimed to evaluate the effectiveness of autogenic relaxation on the anxiety levels of breast cancer patients undergoing chemotherapy at Murni Teguh Hospital Medan. A quasi-experimental design with a pretest-posttest control group approach was used. A total of 64 respondents were selected using purposive sampling and divided equally into intervention and control groups. The autogenic relaxation intervention was administered for 15–20 minutes over three consecutive days. Anxiety levels were measured using the Zung Self-Rating Anxiety Scale (ZSAS). The results showed a significant decrease in anxiety levels in the intervention group compared to the control group. These findings suggest that autogenic relaxation is effective as an independent nursing intervention to reduce anxiety in breast cancer patients undergoing chemotherapy. Keywords: autogenic relaxation, anxiety, breast cancer, chemotherapy