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All Journal Jurnal Kesehatan Tambusai SEHAT : JURNAL KESEHATAN TERPADU JIK JIKMA
Manengkey, Olvin
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Dentistry Environmental Science Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Evidance Based Pracrice Muskuloskeletal Dengan Rheumathoid Manengkey, Olvin; Surapati, Venesia
JURNAL ILMIAH KESEHATAN MANADO Vol. 4 No. 2 (2025): JURNAL ILMIAH KESEHATAN MANADO (JIKMA)
Publisher : Yayasan Syalom Cipta Sumikolah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64418/jikma.v4i2.200

Abstract

Rheumatoid Arthritis is a musculoskeletal disease that often occurs in old age and disrupts the musculoskeletal system, characterized by the appearance of joint pain and stiffness, resulting in a decrease in physiological abilities or quality of life. Pain management can be done with pharmacological or non-pharmacological therapy. This writing aims to discuss the nursing care provided to Mrs. S.L at Ranomuut nursing home. The intervention given to treat the main complaint of chronic pain is pharmacological drug administration and non-pharmacological administration, namely warm red ginger compress therapy and cutaneous stimulation. After the intervention, there was a decrease in the pain scale, namely from 7 to 5 after 5 hours of nursing action. The conclusion in this study is that intervention to treat pain can be carried out using pharmacological and non-pharmacological therapy. Researchers suggest that health workers and patients who experience pain due to rheumatoid arthritis can use non-pharmacological therapy.
Pengaruh Terapi Kompres Dingin terhadap Penurunan Tingkat Nyeri pada Pasien Fraktur Tertutup Bagian Ekstremitas Pondete, Marlyn Anggelina; Manengkey, Olvin; Palandi, Cleonira
JURNAL ILMIAH KESEHATAN MANADO Vol. 4 No. 2 (2025): JURNAL ILMIAH KESEHATAN MANADO (JIKMA)
Publisher : Yayasan Syalom Cipta Sumikolah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64418/jikma.v4i2.205

Abstract

Fracture is a condition of broken bones, either partially or completely, due to strong physical impact or pressure. The severity of this injury is influenced by factors such as the strength and direction of the impact, the condition of the bone, and the surrounding tissue (Siam, 2023),The purpose of this study was to determine the Effect of Cold Compress Therapy on Reducing Pain Levels in Patients with Closed Fractures of the Extremities Emergency Room of Bhayangkara Hospital Class III Manado.The type of research used is quasi-experimental research research design using the pre and post test group design approach respondendt population in this study were all patients with closed fractures of the extremities who were treated at the Emergency Room of Bhayangkara Hospital as many as 21 respondents The results of the study using the Wilcoxon test showed a p Value of 0.000 0.05, so Ho was rejected and Ha was accepted, which means that there is an average difference between the pretest and post test. The conclusion of this study there is an effect of cold compress therapy on reducing pain levels in patients with closed fractures of the extremities in the Emergency Room with a p value 0.000 0.05.
Penerapan Teknik Relaksasi Napas Dalam Terhadap Penurunan Intensitas Nyeri Pada Pasien Gastritis Tn. A.K Di Ruangan C2 RS. R. D. Kandou Manado Manengkey, Olvin; Bunaen, Monalisa
JURNAL ILMIAH KESEHATAN MANADO Vol. 4 No. 2 (2025): JURNAL ILMIAH KESEHATAN MANADO (JIKMA)
Publisher : Yayasan Syalom Cipta Sumikolah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64418/jikma.v4i2.208

Abstract

Gastritis is inflammation of the gastric mucosa caused by irritation and infection. Gastritis can occur suddenly (acute gastritis) or gradually (chronic gastritis). Gastritis includes inflammatory processes or health problems caused by irritation and infection factors in the gastric mucosa and submucosa. Gastritis is commonly known as ulcer disease. The aim of this research is to gain real experience and knowledge and be able to document the application of deep breathing relaxation techniques to pain intensity in gastritis nursing care. This research method is this type of scientific writing using a descriptive method with a case study approach to explore the problem of nursing care for patients with gastritis. Nursing care was provided to the patient Mr. A.K was carried out on 18-19 Juni 2024. From the results of nursing care for Mr "A.K" the first diagnosis was acute pain related to a physiological agent (inflammation of the gastric mucosa). The results of the evaluation of the patient Mr "A.K" showed that the pain had decreased, before the breath relaxation technique was carried out on a pain scale of 5 (moderate), and after the breath relaxation technique was carried out on a pain scale of 3 (mild), the pain problem was resolved, and the intervention was stopped because the patient was outpatient.
Hubungan Penggunaan Kontrasepsi Hormonal dengan Produksi ASI pada Ibu Menyusui Rauan, Imelda Altje; Manengkey, Olvin; Kairupan, Michelle; Mamahit, Adi Yeremia
Jurnal Ilmiah Kesehatan Vol. 2 No. 1 (2025): JIK (JURNAL ILMIAH KESEHATAN)
Publisher : Yayasan Syalom Cipta Sumikolah

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Abstract

The use of postpartum contraception in Indonesia is still considered suboptimal, even though postpartum contraception improves maternal and infant health by extending birth intervals. The purpose of this study was to analyze the relationship between the use of hormonal contraception and breast milk production in breastfeeding mothers. The type of research is observational analytic with cross-sectional design. The population in this study were all breastfeeding mothers at the Tumpaan Minahasa Selatan Health Center totaling 59 people. The sample in this study was the total population. The results of the study showed that most respondents used hormonal contraception as many as 45 people (76.3%) and respondents who used non-hormonal contraception as many as 14 people (23.7%). Smooth breast milk production was 41 people (69.5%) and those who did not produce breast milk were 18 people (30.5%). The Chi Square statistical test obtained a p-value = 0.003 <0.05. There is a significant relationship between the use of hormonal contraception and breast milk production in breastfeeding mothers. Suggestions from the study are expected that breastfeeding mothers can maintain their psychological condition and use appropriate contraception so that breast milk production will not be disturbed and remain smooth.
ASUHAN KEPERAWATAN GAGAL NAPAS ON VENTILATOR PADA PASIEN NY. A. L DENGAN PENERAPAN CLOSE SUCTION DI RUANGAN ICU BAWAH RSUP PROF. DR. R D KANDOU MANADO Manengkey, Olvin; Kairupan, Michelle; Nindi, Engryne; Tarema, Setya Prastica
Jurnal Kesehatan Tambusai Vol. 7 No. 1 (2026): MARET 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v7i1.51966

Abstract

Gagal napas akut (GGA) merupakan gangguan fungsi pompa otot pernapasan atau disfungsi pada paru-paru, terjadi ketidakseimbangan beban pada otot pernapasan dan kapasitas pompa otot. Tindakan suction yaitu memasukkan selang kateter suction melalui mulut atau hidung atau endotrakeal tube (ETT) yang tujuannya untuk mengurangi retensi sputum, membebaskan jalan nafas serta mencegah infeksi paru. Tujuan Penulisan karya ilmiah akhir Ners (KIAN) bertujuan untuk melakukan asuhan keperawatan pada Ny. A. L dengan Gagal Napas On Ventilator di Ruangan ICU Bawah RSUP Prof. Dr. R. D. Kandou Manado. Implementasi yang diberikan terhadap pasien adalah dengan mengidentifikasi adanya kelemahan otot bantu nafas, memonitor status respirasi dan oksigen, mempertahankan kepatenan jalan nafas dengan cara melakukan penerapan tindakan close suction, memonitor pola nafas ( frekuensi nafas ), monitor jumlah,warna ,aroma sputum, melakukan hiperoksigenasi sebelum endotrakeal (close suction) dan melayani obat mukolitik ( N asetilsistein 200 mg via NGT).Hasil penelitian dengan penerapan close suction selama 2 hari, hasil evaluasi  didapatkan penurunan produksi sputum dan peningkatan saturasi oksigen dari 90% menjadi 96%. Kesimpulan dalam penulisan KIAN ini indakan intervensi yang telah dilakukan pada Ny. A. L dengan diagnosa gangguan ventilasi spontan dan bersihan jalan napas tidak efektif yaitu manajemen diberikan tindakan close suction. Dilakukan penghisapan lendir (close suction) kurang dari 15 detik.
ASUHAN KEPERAWATAN BERBASIS EVIDENCE MASSAGE EFFLEURAGE PADA NYERI POST OPERASI SECTIO CAESAREA DI IRINA D BAWAH RSUP PROF DR R.D KANDOU MANADO kairupan, Michelle; Molintao, Winarsi; Lontoh, Esther; Manengkey, Olvin; Nindi, Engryne; Lolon, Yani
SEHAT : Jurnal Kesehatan Terpadu Vol. 5 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/s-jkt.v5i2.57438

Abstract

Sectio Caesarea (SC) merupakan tindakan pembedahan untuk membantu proses persalinan ketika tidak dapat dilakukan secara normal akibat kondisi ibu atau janin. Prosedur ini menyebabkan terputusnya kontinuitas jaringan yang memicu pelepasan reseptor nyeri, sehingga pasien sering mengalami nyeri pasca operasi terutama setelah efek anestesi hilang. Nyeri menjadi masalah utama yang memerlukan penanganan efektif, baik secara farmakologis maupun nonfarmakologis. Salah satu metode nonfarmakologis yang dapat digunakan adalah massage effleurage. Penelitian ini bertujuan untuk mengetahui efektivitas penerapan evidence based practice Massage Effleurage dalam menurunkan nyeri post operasi SC. Penelitian ini menggunakan desain studi kasus dengan pendekatan asuhan keperawatan. Populasi adalah pasien post operasi SC, dengan sampel Ny. K yang dipilih menggunakan teknik purposive sampling. Variabel penelitian adalah tingkat nyeri sebelum dan sesudah intervensi. Pengumpulan data dilakukan menggunakan skala nyeri Numeric Rating Scale (NRS). Intervensi Massage Effleurage diberikan selama dua hari, dan data dianalisis secara deskriptif. Hasil menunjukkan adanya penurunan tingkat nyeri pada Ny. K setelah diberikan intervensi massage effleurage. Skala nyeri awal berada pada tingkat 5 (nyeri sedang) dan menurun menjadi skala 2 (nyeri ringan) pada hari kedua. Penerapan evidence based practice Massage Effleurage efektif dalam menurunkan tingkat nyeri pada pasien post operasi Sectio Caesarea. Intervensi ini dapat dijadikan alternatif terapi nonfarmakologis dalam asuhan keperawatan.
PENERAPAN TERAPI FOOT MASSAGE TERHADAP PENURUNAN INTENSITAS NYERI PADA PASIEN NY. A DENGAN POST OPERASI SECTIO CAESAREA DI RUANGAN IRINA D BAWAH RSUP PROF. DR. R. D. KANDOU MANADO Manengkey, Olvin; Lontoh, Esther; Molintao, Winarsi; Kairupan, Michelle; Nindi, Engryne; Manibui, Lidya
SEHAT : Jurnal Kesehatan Terpadu Vol. 5 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/s-jkt.v5i2.57902

Abstract

Sectio caesarea adalah suatu tindakan pembedahan untuk melahirkan janin dengan membuat sayatan pada dinding uterus melalui dinding abdomen setelah usia kehamilan cukup bulan atau janin dapat hidup diluar kandungan. Persalinan secara Sectio Caesarea (SC) memberikan dampak bagi ibu dan bayi. Nyeri post sectio caesarea dapat menimbulkan berbagai masalah pada ibu maupun bayi. Tujuan penelitian ini adalah untuk mengetahui pengaruh penerapan terapi foot massage terhadap penurunan intensitas nyeri pada pasien Ny. A dengan post operasi sectio caesarea di ruangan Irina D Bawah RSUP Prof. Dr. R. D. Kandou Manado. Desain penelitian ini menggunakan pendekatan studi kasus evidence based practice (EBP) dengan satu responden yang mengalami nyeri post operasi sectio caesarea. Intervensi diberikan dua kali sehari dilakukan selama dua hari, masing-masing selama 20 menit. Pengumpulan data dilakukan menggunakan form checklist lembar observasi skala nyeri sebelum dan sesudah intervensi. Hasil menunjukkan adanya penurunan tingkat nyeri pada Ny. A setelah diberikan intervensi foot massage. Skala nyeri awal berada pada tingkat 5 (nyeri sedang) dan menurun menjadi skala 3 (nyeri ringan) pada hari kedua, pasien sudah terlihat lebih tenang, rileks dan nyaman serta pasien sudah bisa melakukan aktivitas sendiri tanpa bantuan. Penerapan evidence based practice foot massage sebagai manajemen untuk menurunkan nyeri luka post operasi sectio caesarea. Intervensi ini terbukti efektif dalam menurunkan nyeri, dan bisa menjadi pilihan terapi non farmakologi yang dapat membantu klien dengan masalah nyeri, karena pengobatan nonfarmakologi mempunyai banyak keuntungannya seperti dapat dilakukan dimana saja dan tentunya biayanya relatif lebih murah.
Co-Authors Adi Yeremia Mamahit Bunaen, Monalisa Esther Lontoh Kairupan, Michelle Lolon, Yani Manibui, Lidya Molintao, Winarsi Nindi, Engryne Palandi, Cleonira Pondete, Marlyn Anggelina Rauan, Imelda Altje Surapati, Venesia Tarema, Setya Prastica