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Edukasi Pubertas, Menstruasi, dan Perawatan Diri pada Remaja Awal di Sekolah Dasar Siti Fatimah; Esti Nur Janah; Putri Dwi Kamala; Alma Thania Khusna
JPMNT JURNAL PENGABDIAN MASYARAKAT NIAN TANA Vol. 3 No. 4 (2025): Oktober: Jurnal Pengabdian Masyarakat Nian Tana
Publisher : Fakultas Ekonomi & Bisnis, Universitas Nusa Nipa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59603/jpmnt.v3i4.1090

Abstract

Puberty is an important period in the development of young girls, marked by various physical, emotional, and social changes. A lack of understanding about puberty and menstruation often leads to feelings of anxiety, shame, and poor hygiene practices. Therefore, early education is essential to help female students recognize their body changes and maintain reproductive health properly. This community service was conducted at MI Tamrinussibyan 1 Al Hikmah Benda, specifically targeting early adolescent female students. The activity was carried out through interactive counseling and group discussions, supported by presentation media and illustrations. The topics covered included an introduction to puberty, understanding menstruation, healthy eating habits, and practices for maintaining personal hygiene and reproductive health. The results showed an improvement in the students' understanding of reproductive health, accompanied by a positive change in their attitudes toward self-care during menstruation. This program is expected to provide essential knowledge for students to navigate puberty in a healthy, clean, and confident manner.
Asuhan Keperawatan pada Tn. R dengan Gangguan Sistem Pencernaan: Sirosis Hepatis di Ruang Dahlia RSUD dr. Soeselo, Kabupaten Tegal Alma Thania Khusna; Esti Nur Janah; H.Wawan Hediyanto
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1809

Abstract

Liver cirrhosis is a chronic disease characterized by progressive fibrosis, altered liver architecture, and the formation of regenerative nodules. Although it develops slowly, cirrhosis often leads to serious complications such as ascites, variceal bleeding, jaundice, and hepatic encephalopathy. According to the Global Burden of Disease Study 2019, cirrhosis is among the leading causes of death worldwide, with more than 1.4 million deaths annually. In Indonesia, the prevalence of cirrhosis is reported at 0.4% (Riskesdas, 2021) and shows an increasing trend over the years. This case study aims to describe the application of comprehensive nursing care in a patient diagnosed with liver cirrhosis using the nursing process approach. The research design was a case study conducted on Mr. R, who was admitted to Dahlia Ward at RSUD dr. Soeselo, Tegal. Data collection was carried out through interviews, observations, physical examinations, and medical record reviews. The results revealed that the main nursing problems identified were ineffective peripheral perfusion, ineffective breathing pattern, and knowledge deficit. Nursing interventions provided included positioning the patient in semi-fowler, monitoring vital signs, educating the patient about low-sodium diet and fluid restriction, and collaborating in the administration of diuretics and albumin. After three days of nursing care, the evaluation indicated clinical improvement, evidenced by reduced edema, decreased shortness of breath, and increased patient understanding of his disease and treatment plan. In conclusion, nursing care with a comprehensive process approach has a significant positive impact on the condition of patients with liver cirrhosis. Nurses play an essential role in assessment, planning, implementation, evaluation, and providing health education to prevent complications and improve patients’ quality of life.