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Nursing Care Analysis in Children with Down Syndrome and the Application of Puzzle Play Therapy Zalva Khoirunisa, Nisrina; Yekti Widadi, Sri
Nursing Case Insight Journal Vol. 2 No. 3 (2024): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/byz60x45

Abstract

Down Syndrome is a condition characterized by physical and mental developmental delay caused by chromosomal abnormalities during cell division. One of the common complications in children with Down Syndrome is developmental disorders, including delays in motor skills and cognitive development. Non-pharmacological treatments, such as puzzle play therapy, can be used to enhance development. Puzzle play therapy is considered a beneficial intervention to improve fine motor skills and cognitive functions in children with Down Syndrome. This case study aims to provide an overview of the application of puzzle play therapy as a nursing intervention in children with Down Syndrome, focusing on addressing developmental disorders, particularly in fine motor skills. A descriptive case study design was employed, involving anamnesis, observation, physical examination, and analysis of nursing care based on evidence-based practice (EBP). The participant in this study was a child with Down Syndrome who was administered puzzle play therapy. The study found that puzzle play therapy effectively addressed developmental issues in a child with Down Syndrome. After the therapy, there was an improvement in the child’s fine motor skills, which indicates the success of puzzle play therapy as an intervention for developmental disorders in children with Down Syndrome. Puzzle play therapy can be successfully implemented in nursing care for children with Down Syndrome, particularly in improving fine motor skills and promoting cognitive development. It has been empirically proven to be an effective intervention for enhancing development in children with Down Syndrome.
Analysis of Nursing Care to mother with Post-Caesarean Pain and Lavender Aromatherapy Intervention Winarsih, Wiwin; Yekti Widadi, Sri
Nursing Case Insight Journal Vol. 2 No. 3 (2024): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/vkzd6462

Abstract

A Cesarean section (C-section) is a surgical procedure involving an incision into the abdominal wall and uterus to deliver a baby. This procedure disrupts tissue continuity and nerve endings, resulting in pain at the incision site post-surgery. Lavender aromatherapy is a non-pharmacological pain management technique that has been shown to alleviate pain. This study aims to evaluate the effect of lavender aromatherapy on reducing pain intensity in patients post-Cesarean section in the Marjan Bawah Room at Dr. Slamet Garut General Hospital. This descriptive study used a case study design. The Numeric Rating Scale (NRS) was used as the instrument to measure pain intensity in patients. Pain levels were assessed before and after applying lavender aromatherapy for three consecutive days. The case study revealed that the application of lavender aromatherapy significantly reduced pain intensity in post-Cesarean patients. Prior to the aromatherapy intervention, the patient's pain level was recorded as 6 (moderate pain). After three days of lavender aromatherapy, pain intensity decreased to 2 (mild pain). Lavender can effectively reduce pain intensity in post-Cesarean patients, suggesting its potential as a valuable adjunct in pain management strategies.
Analysis of Post Episiotomy Nursing Care with Cold Compress Intervention Nurafita, Hera; Yekti Widadi, Sri; Puspita, Tantri; Wahyudin
Nursing Case Insight Journal Vol. 2 No. 1 (2024): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/n8rx5y85

Abstract

Postpartum is the time to start after placenta birth until return of reproductive organs to in normal condition or before pregnancy taking place for 6-8 weeks. Service postpartum given to Mother during period from 6 hours to 42 days, because often give rise to rips in the road birth (episiotomy) which can give rise to happen bleeding and infection in the mother postpartum. The objective was to get an idea of the application of therapy compress cold as intervention in patients postpartum spontaneous with problem inconvenience post-partum. A descriptive case study using anamnesis, observation, physical examination, and medical records. The results showed that the case study of post-partum patients spontaneous with discomfort nursing problems post-partum consequence wound episiotomy obtained subjective data and objective data , author​ get problem nursing main inconvenience post-partum intercourse with perineal trauma during labor and birth , proven with exists wound episiotomy degree II . Discomfort caused by injuries​ episiotomy can overcome with use therapy compress cold, this be marked with exists decline scale painful from 5 to 2 after done intervention in 3 days. Therapy compress cold own significant influence​ of postpartum discomfort in post-partum patients spontaneous Birth
Hubungan Berat Badan Lahir Rendah dengan Kejadian Hiperbilirubin di Ruang Perinatologi RSUD dr. Slamet Garut Yekti Widadi, Sri; Puspita, Tantri; Alfiansyah, Rudi; Vava Rilla, Eldessa; Wahyudin, Wahyudin; Nurazizah , Siti
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (434.627 KB) | DOI: 10.36418/syntax-literate.v8i2.11458

Abstract

Berat badan lahir rendah (BBLR) adalah berat badan lahir kurang dari 2500 gram. Sedangkan hiperbilirubinemia merupakan suatu kondisi yang ditandai dengan peningkatan kadar bilirubin (≥ 10 mg/dl) didalam jaringan ekstravaskuler sehingga tampak kuning pada konjungtiva, kulit dan mukosa. Metode penelitian yang digunakan adalah observasional analitik dengan pendekatan cass control, teknik penentuan sampel yang digunakan adalah purposive sampling yaitu sebanyak 42 sampel yang terbagi atas 21 sampel kasus dan kontrol dengan perbandingan (1:1). Berdasarkan analisis person chi-square merupakan uji yang dilakukan pada penelitian ini, uji ini bertujuan untuk mencari kolerasi antara variabel, dikatakan terdapat kolerasi yang signifikan jika p-value < 0,05. Pada penelitian ini didapatkan p-value = 0,005 yang berarti terdapat kolerasi yang signifikan anatara berat badan lahir rendah dengan kejadian hiperbilirubin. Didapatkan nilai OR = 6,400 yang artinya kejadian hiperbilirubin mempunyai resiko 6,4 kali lebih besar pada bayi BBLR dibandingkan yang tidak BBLR.
Studi Fenomenologi Pengalaman Ibu yang Merawat Pasien Anak Dengan Tuberculosis di Wilayah Kerja UPTD Puskesmas Tarogong Yekti Widadi, Sri; Puspita, Tantri; Wahyudin, Wahyudin; Alfiyansah, Rudi; Saefulrohman, Yana
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (690.234 KB) | DOI: 10.36418/syntax-literate.v8i3.11468

Abstract

Indonesia merupakan salah satu dari 5 negara yang dinobatkan sebagai jumlah kasus terbanyak Tuberculosis di dunia. Jumlah kasus Tuberculosis yang ditemukan di kab Garut tahun 2021 sebanyak 4611 kasus. Tuberculosis pada anak merupakan salah satu aspek yang penting untuk diperhatikan karena menyangkut pertumbuhan dan perkembangan seorang anak. Ibu memiliki peran penting dalam hal penanggulangan Tuberculosis pada anak. Tujuan dari penelitian ini adalah untuk mengetahui bagaimana pengalaman ibu yang merawat pasien anak dengan terdiagnosis penyakit tuberculosis diwilayah kerja UPTD Puskesmas Tarogong. Penelitian ini menggunakan desain penelitian kualitatif dengan pendekatan fenomenologi, dengan pengambilan partisipan menggunakan purposive sampling dan jumlah informan sebanyak tiga orang yang sudah memenuhi taraf redundancy. Pengumpulan data menggunakan wawancara mendalam (In Depth interview), wawancara terarah (Guided interview) dan observasi. Untuk menguji keabsahan data menggunakan validitas internal, eksternal, realibilitas dan objektivitas, kemudian analisis data menggunakan tehnik collaizi. Tema yang teridentifikasi ada enam diantaranya: 1) Pengetahuan ibu tentang TBC, 2) perasaan pertama kali ibu mengetahui anaknya terdiagnosa TBC, 3) upaya perawatan yang diberikan oleh ibu selama merawat anak TBC, 4) kendala yang dihadapi oleh ibu, 5) cara ibu mengatasi masalah yang dihadapi, 6) dukungan yang diperoleh ibu. Saran, perlu adanya pendidikan kesehatan mengenai tuberculosis terhadap kontak erat penderita Tuberculosis karena Tuberculosis pada anak faktor resiko terbesarnya ditularkan oleh penderita tuberculosis dewasa serta perlu adanya bimbingan terarah baik dalam hal pemberian nutrisi maupun personal hygiene kepada ibu yang merawat anak yang terdiagnosis penyakit tuberculosis karena menyangkut dengan proses pengobatan pada anak.