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Dwi Hikmatun , Khaerunnisa
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Dentistry Health Professions Nursing Public Health Veterinary

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Studi Kasus : Asuhan Keperawatan Pasien Dengan Bersihan Jalan Napas Tidak Efektif Akibat Tuberculosa Paru Di IGD RSD Gunung Jati Kota Cirebon Sari, Diana; Purbasari, Dwiyanti; Dwi Hikmatun , Khaerunnisa; Komariah , Oom; Fitriyani, Risma
MEJORA Medical Journal Awatara Vol 2 No 3 (2024): Juli
Publisher : Awatara Publisher

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Abstract

Pulmonary tuberculosis is an infectious disease caused by Mycobacterium tuberculosis and attacks the lower respiratory tract. The purpose of this study was to provide nursing care to patients with ineffective airway clearance due to Pulmonary TB in the Emergency Room of Gunung Jati Hospital, Cirebon City with a case study approach. This type of research uses a descriptive case study approach. The sample consisted of one person who experienced an emergency due to a medical diagnosis of Pulmonary Tuberculosis in the Emergency Room of Gunung Jati Hospital, Cirebon City. Data collection was carried out through nursing assessment with anamnesis, physical examination and documentation study. The results of the study showed that the patient was in the green triage, ineffective airway clearance as a priority nursing diagnosis, the patient was given airway management and oxygen 6 npm nasal cannula. Nursing evaluation showed that airway clearance was still ineffective and the patient was treated in the inpatient room. The emergency team needs to carry out complementary therapy in collaborative care for chronic patients.
Asuhan Keperawatan Pada Ny. N Dengan Medis Diabetes Melitus (DM) Di RSD Gunung Jati Fitriyani, Risma; Purbasari, Dwiyanti; Komariyah , Oom; Sari, Diana; Dwi Hikmatun , Khaerunnisa
MEJORA Medical Journal Awatara Vol 2 No 3 (2024): Juli
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Diabetes Mellitus is a disease in the form of increased blood glucose levels or commonly called hyperglycemia that exceeds normal limits. This condition is caused by a decrease in insulin secretion that occurs due to dysfunction in the pancreas, insulin sensitivity is decreasing, or from both, Diabetes Mellitus (DM) is a disease whose number of sufferers continues to increase cases every year. This study uses a case study method with female patient respondents aged 38 years with a medical diagnosis of diabetes mellitus. Data collection techniques are carried out by interviews (interview results contain the identity of the client, main complaints, history of current and past diseases), observation and physical examination. This research was carried out in the HCU Room of Gunung Jati Hospital, Cirebon City for 3 days (March 11, 2024 – March 13, 2024). the results of a case study in patients with diabetes mellitus obtained a nursing diagnosis there was a wound in the left leg area, during nursing care for 3 days it was found that the problem was resolved so that the intervention was stopped. based on the results of the evaluation of the wound problem in the left leg area in the patient can be resolved.
Penerapan Teknik Relaksasi Benson Pada Pasien Dengan Nyeri Akut Akibat Post Operasi Transurethral Resection Of The Prostate Atas Indikasi Benigna Prostat Hyperplasia Komariyah, Oom; Purbasari, Dwiyanti; Sari, Diana; Fitriyani, Risma; Dwi Hikmatun , Khaerunnisa
MEJORA Medical Journal Awatara Vol 2 No 4 (2024): October
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i4.263

Abstract

One of the surgical procedures for patients with Benign Prostatic Hyperplasia (BPH) is Transurethral Resection of the Prostate (TURP). This procedure often causes postoperative pain in the lower abdominal area or around the pubic symphysis. Benson relaxation technique is a non-pharmacological pain management approach that helps alleviate mental and physical tension as well as stress, thereby increasing pain tolerance. This study aims to determine the effect of the Benson relaxation technique in reducing acute pain in postoperative patients with Benign Prostatic Hyperplasia (BPH) at Waled Regional General Hospital, Cirebon Regency. The study employed a case study design with a nursing process approach on one respondent who underwent TURP surgery one day earlier due to BPH. Benson relaxation therapy was administered on the second to fourth postoperative days. Pain was assessed using the Numeric Rating Scale (NRS) and qualitative pain evaluation. The study was conducted in December 2023. By the fourth postoperative day, the patient reported mild pain characterized by a stabbing sensation around the surgical wound in the abdomen. The pain was intermittent, particularly when getting out of bed, moving, or engaging in physical activity. The pain scale was 3, and the patient appeared calm and relaxed, with a pulse rate of 84 beats per minute and a respiratory rate of 18 breaths per minute during activities without supplemental oxygen. Continuous application of the Benson relaxation technique can serve as a complementary intervention to reduce acute pain in postoperative TURP patients due to BPH.
Co-Authors Diana Sari Dwiyanti Purbasari Fitriyani, Risma Komariah , Oom Komariyah , Oom Komariyah, Oom