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Oetama, Saiful
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Application of Slow Deep Breathing Exercise in Reducing Pain Intensity in Pre-Operative Patients with Lateral Inguinal Hernia Sinistra: Case Study Suwardi, Suwardi; Nirwan, Nirwan; Rimadeni, Yeni; Oetama, Saiful; Halimatussakdiah, Halimatussakdiah
Journal Keperawatan Vol. 3 No. 2 (2024): November 2024
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58774/jourkep.v3i2.93

Abstract

Background: Inguinal hernia occurs when there is a protrusion of the contents of a cavity through a weak part of the inguinal gap in the abdominal wall. The occurrence of inguinal hernia is caused by repeated and continuous increase in intra-abdominal pressure. The increase in inguinal hernia cases has now reached 20 million cases, most of which are suffered by late adults to the elderly with the main problem being acute pain and its management through herniotomy. Slow Deep Breathing Exercise is one of the non-pharmacological therapies that is often used to overcome acute pain felt by pre-operative patients. Purpose:  To provide an overview of the application of slow deep breathing in the management of acute pain in preoperative patients with left lateral inguinal hernia treated at the Zainoel Abidin Regional General Hospital, Banda Aceh. Methods: Descriptive research with case studies through the nursing process approach from assessment, nursing diagnosis, planning, implementation, and evaluation. The subject of the study was 1 Pre-Operative Hernia Inguinalis Lateralis Sinistra patient who was treated in the internal medicine room who was given Slow Deep Breathing Exercise intervention. The research instruments used to collect data were medical surgical nursing care sheets and pain measuring instruments using the Numeric Rating Scale. Results: After implementing Slow Deep Breathing Exercise twice a day (duration 15 minutes during the intervention) for 3 days combined with oxygen therapy via nasal cannula (3 liters/minute), the patient's main problem, namely acute pain, decreased from a scale of 8 to 6 with all patient activities still being assisted. Conclusion: Based on the research results, it can be concluded that the patient's problem, namely acute pain, was partially resolved through the Slow Deep Breathing Exercise intervention because the pain still often occurs with an uncertain duration and interferes with the patient's basic needs.
Differences in Social Relationship Difficulties in Nursing Students Warnidar, Eka; Hidayat, Fedri; Riani, Eka Oktarina; Oetama, Saiful; Elvin, Said Devi; Ritawati, Ritawati; Sufri, Sofyan; Faisal, T. Iskandar; Jamni, Teuku
Journal Keperawatan Vol. 4 No. 1 (2025): May 2025
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58774/jourkep.v4i1.71

Abstract

Background: Difficulty in establishing social relationships is a significant issue that can negatively impact the psychological well-being of nursing students. Often feeling isolated, withdrawing from the social environment, and experiencing decreased academic motivation are difficulties that usually arise in students. Various factors contribute to this condition, including pressure to be accepted in certain social groups, such as trying to adjust appearance or behavior to be accepted by the environment, which actually triggers stress and identity crises. Understanding the background and causal factors to the differences in the level of social difficulties in nursing students is very important in efforts to improve psychological well-being and support the academic success of nursing students. Purpose: To determine the differences in social relationship difficulties in students at different levels of the diploma program in nursing. Methods: The study used an analytical survey design with a comparative approach. The research sample consisted of 642 respondents from students of the diploma program in nursing at Poltekkes Kemenkes Aceh and was obtained through a total sampling technique. The instrument used to measure the level of difficulty in social relationships was The Revised Cheek and Buss Shyness Scale (RCBS), which has been proven valid and reliable in measuring the level of individual personality. Data analysis was carried out using the Kruskal-Wallis test to compare differences in the level of difficulty in social relationships based on the group of variables studied. Results: Based on the results of statistical tests using the Kruskall Wallis test, it shows that the p-value is 0.01 (<0.05), which indicates that there is a significant difference in the average difficulty of social relationships in students between levels of the diploma program in nursing at Poltekkes Kemenkes Aceh. Conclusion: There is a significant difference in the level of difficulty of social relations between students based on the level of the diploma program in nursing at Poltekkes Kemenkes Aceh, which shows that the level of education is related to students' social adaptation abilities.