Wahyudi , Wahid Tri
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Asuhan Keperawatan nyeri sendi akibat asam urat dengan teknik range of motion di Desa Lempasing Kecamatan Teluk Pandan Kabupaten Pesawaran Ulandari, Elvi; Trismiyana , Eka; Wahyudi , Wahid Tri
JOURNAL OF Public Health Concerns Vol. 4 No. 3 (2024): JOURNAL OF Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v4i3.459

Abstract

Background : Gout is a disease caused by the accumulation of monosodium urate crystals in the body. As many as 81% of Indonesia's population suffers from joint disease, but only 24% go to the doctor. The country with the highest number of joint disorders compared to other countries is Indonesia. The results of interviews with the Lempasing Health Center found that gout was ranked fourth in the Lempasing community with a total of 50 people in 2023. Purpose : To provide nursing care for gout-related joint pain with the range of motion (ROM) technique. Method : This research design uses descriptive research with a nursing care approach, which includes assessment, nursing diagnosis, intervention, implementation and evaluation. Interventions include teaching non-pharmacological techniques: joint range of motion (ROM) exercises, measuring blood pressure, calculating RR, calculating pulse, measuring temperature and checking uric acid levels, advising clients to rest regularly. Results: After nursing care was carried out for 3 days with a duration of 20 minutes per meeting, it was found that there was a significant decrease in pain felt by both respondents from pain scale 4 and 5 (moderate pain) to 2 and 1 (mild pain). Conclusion: Range of motion (ROM) techniques can reduce joint pain in gout sufferers. Suggestion: it is hoped that families with gout sufferers can apply range of motion exercises when sufferers feel pain in their joints due to increased levels of uric acid in the body. Keywords: Gout; Joint pain; Range of motion (ROM) exercises Pendahuluan: Asam urat merupakan suatu penyakit yang diakibatkan karena penimbunan kristal monosodium urat didalam tubuh. Sebanyak 81% penduduk Indonesia menderita penyakit persendian, namun hanya 24% yang berobat ke dokter. Negara dengan jumlah gangguan sendi terbanyak dibandingkan negara lain adalah Indonesia. Hasil wawancara dengan pihak puskesmas lempasing didapakan bahwa penyakit asam urat menduduki peringkat keempat diderita oleh masyarakat lempasing dengan jumlah 50 orang pada tahun 2023. Tujuan: Memberikan asuhan keperawatan nyeri sendi akibat asam urat dengan teknik range of motion (ROM). Metode: Desain penelitian ini menggunakan penelitian deskriptif dengan pendekatan asuhan keperawatan, yang meliputi pengkajian, diagnosa keperawatan, intervensi, implementasi dan evaluasi. Intervensi berupa mengajarkan teknik non farmakologi: latihan rentang gerak sendi (ROM), mengukur tekanan darah, menghitung RR, menghitung nadi, mengukur suhu dan mengecekan kadar asam urat, menyarankan partisipan untuk beristirahat teratur.  Hasil: Setelah dilakukan asuhan keperawatan selama 3 hari dengan durasi 20 menit setiap pertemuan, didapatkan hasil bahwa terdapat penurunan yang signifikan terhadap nyeri yang dirasakan oleh kedua responden dari nyeri skala 4 dan 5 (nyeri sedang) menjadi 2 dan 1 (nyeri ringan). Simpulan: Teknik range of motion (ROM) dapat menurunkan nyeri sendi pada penderita asam urat. Saran: diharapkan keluarga dengan penderita asam urat dapat menerapkan latihan range of motion pada saat penderita merasakan nyeri pada persendian akibat meningkatnya kadar asam urat dalam tubuh
Progresive muscle relaxtion (PMR) untuk menurunkan gangguan pola tidur Sari, Devi Ratna; Wahyudi , Wahid Tri; Hermawan, Dessy
JOURNAL OF Mental Health Concerns Vol. 2 No. 2 (2023): October Edition 2023
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v2i2.378

Abstract

Background: Over a period of nearly 50 years (1971-2018), the percentage of Indonesia's elderly population has roughly doubled. In 2018, the percentage of elderly people reached 9.27 percent or around 24.49 million people (BPS, 2018). In 2019 there was an increase, namely the percentage of elderly people, namely to 9.6 percent (25 million), where there were around one percent more elderly women than elderly men (10.10 percent compared to 9.10 percent). Of all the elderly in Indonesia, the young elderly (60-69 years) far dominate with a magnitude of 63.82 percent, then followed by the middle elderly (70-79 years) and the old elderly (80+ years) with a magnitude of 27 each. 68 percent and 8.50 percent. Purpose: Providing gerontic nursing care with the main nursing problem of sleep pattern disturbances with Progressive Muscle Relaxtion (PMR) in Sukajaya Lempasing Village in 2023 Method: This type of research uses descriptive qualitative research, this research uses descriptive research methods in the form of case studies with the Nursing Care approach, which includes assessment, nursing diagnosis, planning, implementation, and evaluation. Results: From the results of studies conducted on Mrs. E and Mrs. R, sleep pattern disorders were obtained. The data obtained by the patient named Mrs. R is female aged 65 and 70 years. Conclusion: The implementation study for 3 days obtained partially resolved results, which were characterized by an increase in elderly sleep duration. The results of the evaluation conducted for three days showed that all problems could be resolved.  Keywords: Elderly; Nursing Care; Progressive Muscle Relaxtion (PMR); Sleep Pattern Disturbance. Pendahuluan: Selama kurun waktu hampir 50 tahun (1971-2018), persentase penduduk lansia Indonesia meningkat sekitar dua kali lipat. Pada tahun 2018, persentase lansia mencapai 9,27 persen atau sekitar 24,49 juta orang (BPS, 2018). Pada Tahun 2019 terjadi peningkatan yakni persentase lansia yakni menjadi 9,6 persen (25 juta-an) di mana lansia perempuan sekitar satu persen lebih banyak dibandingkan lansia laki-laki (10,10 persen banding 9,10 persen). Dari seluruh lansia yang ada di Indonesia, lansia muda (60-69 tahun) jauh mendominasi dengan besaran yang mencapai 63,82 persen, selanjutnya diikuti oleh lansia madya (70-79 tahun) dan lansia tua (80+ tahun) dengan besaran masingmasing 27,68 persen dan 8,50 persen. Tujuan: Memberikan asuhan keperawatan gerontik dengan masalah keperawatan utama gangguan pola tidur dengan Progresive Muscle Relaxtion (PMR) di Desa Sukajaya Lempasing Tahun 2023 Metode: Jenis penelitian ini menggunakan penelitian deskriptif kualitatif, penelitian ini menggunakan metode penelitian deskriptif dalam bentuk studi kasus dengan pendekatan Asuhan Keperawatan, yang meliputi pengkajian, diagnosa keperawatan, perencanaan, pelaksanaan, dan evaluasi. Hasil: Dari hasil pengkajian yang dilakukan pada Ny. E dan Ny. R didapatkan gangguan pola tidur. Data yang didapatkan pasien bernama Ny. R berjenis kelamin Perempuan berusia 65 dan 70 tahun. Simpulan: Kajian implementasi selama 3 hari didapat hasil sebagian masalah teratasi, yang ditandai dengan meningkatnya durasi tidur lansia. Hasil evaluasi yang dilakukan selama tiga hari menunjukkan semua masalah dapat teratasi.