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Penerapan Threpahy Slimber Ice untuk Menurunkan Rasa Haus dalam Asuhan Keperawatan Hipervolemia di Ruang Rosella RSUD Kardinah Kota Tegal Aiyeni Aiyeni; Nonok Karlina; Muadi Muadi
JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL Vol. 4 No. 1 (2026): JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL
Publisher : CV. ALIM'SPUBLISHING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59024/jikas.v4i1.2422

Abstract

Chronic Kidney Disease is a condition when kidney function begins to decline gradually. Chronic kidney failure disease called kidney damage can be tissue abnormalities, blood composition, and urine or kidney imaging tests, experienced for more than three months. This scientific paper aims to analyze nursing care with the application of slimber ice therapy  to chronic kidney disease  clients with hypervolemia nursing problems. The method applied in the preparation of this scientific paper is the case study method. The subject of this scientific paper is involving 1 client with a case of CKD and having hypervolemia nursing problems who are undergoing treatment in the Rosella Room of Kardinah Hospital, Tegal City. Data collection uses interview, observation, and physical examination techniques. The nursing care process for the client was carried out for 3 days, and the results of the assessment were obtained, namely edema in both lower extremities. The intervention provided is in the form of fluid restriction with the application  of slimber ice  therapy to reduce thirst which is implemented for 3 days, with slimber ice therapy  for 5-10 minutes during dialysis sessions can reduce thirst and can moisturize the esophagus so as to reduce thirst and minimize fluid input in the body. Based on the results of the evaluation, it was found that the application  of slimber ice therapy  on the first to third day was able to reduce thirst in CKD patients undergoing hemodialysis.
Penerapan Teknik Relaksasi Benson dalam Asuhan Keperawatan Pasien Stemi dengan Nyeri Dada di ICCU Cica Handayani; Nonok Karlina; Muadi Muadi
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 1 (2026): Januari : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i1.855

Abstract

ST-Elevation Myocardial Infarction (STEMI) triggers severe chest pain due to coronary occlusion, risking increased cardiac workload. Non-pharmacological management, such as Benson's Relaxation, is required as a complementary therapy. This scientific paper aims to analyze nursing care and the effectiveness of Benson's Relaxation Technique in reducing chest pain intensity among STEMI patients in the ICCU at RSD Gunung Jati, Cirebon City. This study used a descriptive qualitative design with a case study approach on Mrs. O (46 years old) presenting with Anteroseptal STEMI. Data were collected through anamnesis, observation, and medical records, with validity ensured via triangulation. The Benson intervention was administered for 15 minutes per session over 3 days. During the initial assessment, the patient presented with severe chest pain (scale 7) and hemodynamic instability (BP: 155/95 mmHg, HR: 110 bpm). The primary nursing diagnosis established was Acute Pain. After 3 days of intervention, the pain decreased progressively from a scale of 7 to 0 (pain completely resolved) and vital signs improved significantly (BP: 122/78 mmHg, HR: 76 bpm). Benson's Relaxation Technique is effective and safe to be utilized as a complementary therapy to reduce chest pain intensity and stabilize hemodynamic status in STEMI patients within the intensive care unit.
Studi Kasus : Penerapan Pursed Lip Breathing untuk Meningkatkan Saturasi Oksigen pada Klien Efusi Pleura dengan Masalah Keperawatan Pola Napas Tidak Efektif Adinda Dwi Putri; Nonok Karlina; Muadi Muadi
Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi Vol. 4 No. 1 (2026): February: Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/antigen.v4i1.1094

Abstract

Pleural effusion is a condition characterized by the accumulation of excess fluid in the pleural cavity, which may cause impaired lung expansion, decreased ventilation, dyspnea, and reduced oxygen saturation. This condition often leads to the nursing problem of ineffective breathing pattern, requiring prompt management to maintain adequate oxygenation. One of the non-pharmacological interventions that can be applied is the Pursed Lip Breathing (PLB) technique, a breathing exercise aimed at improving lung ventilation, reducing shortness of breath, and increasing oxygen saturation. The purpose of this case study was to determine the application of Pursed Lip Breathing in improving oxygen saturation in a patient with pleural effusion experiencing an ineffective breathing pattern at Rosella Ward, Kardinah Regional General Hospital, Tegal City. The method used was a case study approach based on the nursing process, including assessment, nursing diagnosis, intervention, implementation, and evaluation. Data were collected through interviews, observation, physical examination, and documentation. The subject of this study was one patient diagnosed with pleural effusion who experienced an ineffective breathing pattern. The Pursed Lip Breathing intervention was administered for three consecutive days, with a duration of 5–10 minutes per session according to the patient's tolerance. The results showed an improvement in the patient's respiratory status after the implementation of Pursed Lip Breathing. The patient experienced a reduction in dyspnea, respiratory rate approached the normal range, the use of accessory respiratory muscles decreased, and oxygen saturation increased compared to the pre-intervention condition. In addition, the patient appeared more relaxed and comfortable while breathing. In conclusion, the application of Pursed Lip Breathing was effective in improving oxygen saturation and breathing patterns in a patient with pleural effusion and an ineffective breathing pattern. This intervention can be considered a simple, safe, and effective non-pharmacological nursing intervention to support patients' oxygenation needs.  
Penerapan Range of Motion (ROM) Pasif pada Asuhan Keperawatan Pasien Stroke dengan Gangguan Mobilitas Fisik di Ruang Stroke Unit RSD Gunung Jati Kota Cirebon Rama Sukma Diraja; Nonok Karlina
OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 4 No. 2 (2026): Maret: OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/obat.v4i2.2385

Abstract

Stroke is one of the degenerative diseases that is the main cause of death and disability in Indonesia. Based on WHO data in 2022, there are more than 12 million new cases of Stroke every year worldwide, while the prevalence of Stroke in Indonesia reaches 12.1 per 1,000 population (Riskesdas 2018). One of the nursing problems that often arise in Stroke patients is impaired physical mobility due to muscle weakness and immobilization. Range of Motion (ROM) exercises are a rehabilitation intervention that has been shown to be effective in increasing muscle strength and preventing joint stiffness. This study aims to describe the implementation of ROM exercises in Stroke patients with physical mobility disorders at Gunung Jati Hospital, Cirebon City in 2026. The research design was in the form of a qualitative descriptive case study with the subject Mr. A, a 48-year-old male with a diagnosis of non-hemorrhagic Stroke. Passive and active ROM interventions were carried out for three days in a structured manner. The evaluation showed an improvement in the patient's movement ability and muscle strength, so that nursing problems were partially resolved. The results of the study confirm that regular and repeated ROM exercises are effective in improving physical mobility and muscle strength in non-hemorrhagic Stroke patients. Education to patients and families also plays an important role in supporting the rehabilitation and recovery process.
Penerapan Senam Sendi Lutut Sederhana dalam Menurunkan Nyeri dan Meningkatkan Mobilitas Fisik pada Pasien Osteoarthritis dengan Gangguan Mobilitas Fisik Ahmadi Ahmadi; Nonok Karlina; Muadi Muadi
OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 4 No. 3 (2026): Mei : OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/obat.v4i3.2391

Abstract

Osteoarthritis is a degenerative joint disease that frequently causes pain, stiffness, and limited physical mobility. This study aimed to describe the implementation of simple knee exercises for an osteoarthritis patient experiencing impaired physical mobility. A descriptive case study method was employed, involving a 61-year-old female patient. The intervention was conducted over three consecutive days. The results showed a reduction in pain scale from 6 to 3, as well as improvements in range of motion (ROM) and mobility. Conclusion: Simple knee exercises are effective as a non-pharmacological intervention for reducing pain and improving physical mobility in patients with osteoarthritis. Nevertheless, the results of this study should be interpreted with caution, as it involved only a single patient and lacked a comparison group. Research involving larger sample sizes and standardized anxiety measurement instruments is needed to strengthen the evidence regarding the effectiveness of SEFT among hemodialysis patients across various renal care settings.
Co-Authors Adinda Dwi Putri Aditiya Puspanegara Afif Alwan Izuddin, Mohamad Ahmad Syaripudin Ahmadi Ahmadi Aini, Cica Fikrotuan Aiyeni Aiyeni Amaliyah Ani Nurhaeni Anisa Arie Ardiyanti Rufaedah Aris, Muhammad Arnika Dwi Asti Askur, Askur Bintang Rolistiani Budianti, Dian Budiati, Dian Budihartiningrum, Fitriani Cica Handayani Citra Setyo Dwi Andhini Desiyani Nani Dewi Erna Marisa Dian Budiati Dwiyanti Purbasari Ekawati, Indi Erida Fadila Erna Marisa , Dewi Erna Marisa, Dewi Fadila, Erida Fauziyatu Alfiyah, Suci Fega Nurpuji Khairiyah Firmansyah, M Ramadhani Gama Bagus Kuntoadi Heny Siswanti Herniyatun, Herniyatun Ica Wahyuni Inesta, Indi Jenti Sitorus Kamila, Sri Kartadarma, Supriyatni Laily Hidayah, Nur Lestyani, Lestyani Lia Amelia Lisa Rizky Amalia Marisa , Dewi Erna Marisa, Dewi Erna Marisca Jenice Sanaky Mega Yulia Mirani, Tessa Vera Muadi Muadi Muadi Muadi Muadi, Muadi Muadi, Rafif Munawaroh, Magfirohtul Najihah, Umi Nur Gilang Fitriana Nuraini Nurcahyana, Yayan Nurhaeni, Ani Pipit Indra Lestari Prihatini, Nur Purbaningsih, Endah Sari Putri Gayuh Uthami Qur’aeni, Devi Nurul Rama Sukma Diraja Ratna Kuning Budi Rahayu, Atik Riah, Suci Rina Utami Rondonuwu, Rolly Harvie Stevan Rosalia Rahayu Rosiyana Amila RR. Ella Evrita Hestiandari Sendra, Eny Siska Siska Siti Haniyah Siti Nuraina Inayah Siti Utami Dewi Sri Nurcahyati Sukesih Sukesih, Sukesih Tantri Maulani Putri Terry Melany Umi Najihah Wulandari, Angernani Trias Yannerith Chintya Yulianingsih Yulianingsih Yulianingsih, Devi Yulianingsih, Yulianingsih