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All Journal Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan
Ni Putu Diah Ayu Rusmeni
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Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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NURSING CARE FOR PREGNANT WOMEN WITH HYPOVELEMIA IN THE CASE OF HYPEREMESIS GRAVIDARUM AGAINST THE ADMINISTRATION OF ZINGIBER OFFICINALE HERBAL THERAPY Lia Kristina, Ni Luh Putu; Putu Indah Sintya Dewi; Ni Putu Diah Ayu Rusmeni
Jurnal Kesehatan Budi Luhur : Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 18 No. 2 (2025): July 2025
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v18i2.412

Abstract

Hyperemesis gravidarum is a condition characterized by excessive vomiting, which may lead to dehydration, electrolyte imbalance, acid-base disturbances, and significant weight loss in pregnant women. Management of hyperemesis gravidarum requires controlling nausea and vomiting to prevent active fluid loss. One potential complementary intervention is the use of Zingiber officinale (ginger) herbal therapy.This study aims to describe complementary nursing care focused on managing hypovolemia in a patient with hyperemesis gravidarum through the use of Zingiber officinale herbal therapy. The research employed a descriptive case study design to identify nursing care problems in a patient diagnosed with hyperemesis gravidarum. The subject was Mrs. S, a G1P0A0H0 patient at 9 weeks of gestation. The identified nursing diagnosis was hypovolemia related to active fluid loss, evidenced by nausea and vomiting more than five times per day, weakness, dizziness, dry lip mucosa, capillary refill time (CRT) > 2 seconds, urine ketones 3+, and decreased blood pressure (100/60 mmHg). The nursing intervention focused on managing hypovolemia and reducing nausea and vomiting through the administration of Zingiber officinale herbal therapy twice daily. After 72 hours (3×24 hours) of nursing care, the evaluation showed improvement in the patient’s condition: no more vomiting or dizziness, CRT < 2 seconds, moist mucous membranes, negative urine ketones, improved fluid intake, and stable blood pressure (110/70 mmHg). This study concludes that Zingiber officinale herbal therapy is effective in reducing nausea and vomiting and may help prevent potential complications during pregnancy. Keywords : Hyperemesis gravidarum, Hypovolemia, Zingiber officinale
NURSING CARE IN LBW WITH HYPOTHERMIA WITH KANGORO MOTHER CARE'S INTERVENTION INNOVATION ON BODY TEMPERATURE STABILITY Ni Wayan Juni Winata Sari; Putu Indah Sintya Dewi; Ni Putu Diah Ayu Rusmeni
Jurnal Kesehatan Budi Luhur : Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 18 No. 2 (2025): July 2025
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v18i2.416

Abstract

Low birth weight (LBW) infants are at risk of hypothermia due to immature thermoregulatory mechanisms. LBW is defined as a birth weight of less than 2,500 grams regardless of gestational age. Hypothermia can occur in LBW infants even in relatively warm environments, as newborns are unable to regulate their body temperature optimally. If not treated promptly, hypothermia may lead to serious illness or even death. To increase body temperature in LBW infants, an alternative therapy such as Kangaroo Mother Care (KMC) can be applied. This study aims to describe nursing care for LBW infants experiencing hypothermia using Kangaroo Mother Care therapy. A descriptive case study design was employed to identify nursing problems. The subject of this study was Baby J. The nursing diagnosis established was hypothermia. Nursing interventions focused on managing hypothermia through KMC therapy, which was administered twice daily for one hour over a period of three consecutive days. Prior to the intervention, an assessment was conducted to identify signs of hypothermia, such as body temperature, lip color, and the infant's general condition. During therapy, Baby J’s mother received direct guidance due to limited knowledge about the correct application of KMC. This required time and educational support from healthcare professionals. After 72 hours of intervention, evaluation results showed an increase in the infant’s body temperature to within the normal range, warm skin, and improved breastfeeding activity. These findings indicate a reduction in hypothermia symptoms. The study concludes that KMC is beneficial in supporting thermoregulation in LBW infants. Kangaroo Mother Care therapy has proven effective in increasing body temperature in LBW patients. Keywords : Low birth weight, Hypothermia, Kangoroo mother care  
Co-Authors Lia Kristina, Ni Luh Putu Ni Wayan Juni Winata Sari Putu Indah Sintya Dewi