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All Journal JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Window of Health : Jurnal Kesehatan Martabe : Jurnal Pengabdian Kepada Masyarakat CARADDE: Jurnal Pengabdian Kepada Masyarakat Journal of Islamic Nursing Celebes Health Journal Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Peduli Masyarakat Jurnal Pengabdian Kesehatan Jurnal Kesehatan Tambusai Journal of Community Development Wal'afiat Hospital Journal Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Window of Nursing Journal pendidikan, science, teknologi, dan ekonomi Jurnal Pengabdian Masyarakat Saga Komunitas WAL'AFIAT HOSPITAL JOURNAL Jurnal Intelek Dan Cendikiawan Nusantara Jurnal Intelek Insan Cendikia Celebes Journal of Community Services Strada Jurnal Ilmiah Kesehatan (SJIK) As-Syirkah: Islamic Economic & Financial Journal Paradigma: Jurnal Filsafat, Sains, Teknologi, dan Sosial Budaya
Asfar, Akbar
Universitas Muslim Indonesia
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Journal : wal'afiat hospital journal

 1 
Penerapan Manajemen Nyeri pada Pasien Perioperative dengan Hidronefrosis di RSUD Labuang Baji Kota Makassar Baso, Mohamad Fauzan; Asfar, Akbar; Alam, Rizky Iftitah; Tjahjaningrum, Sajekti
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/7ps68p64

Abstract

Hydronephrosis is a dilation of the renal pelvicalyceal system caused by urinary outflow obstruction, which may increase intrarenal pressure and trigger pain. This case report describes non-pharmacological pain management in a Perioperative hydronephrosis patient using deep breathing relaxation in the pre-operative phase and benson relaxation in the post-operative phase. The report followed the nursing process (assessment–diagnosis–intervention–implementation–evaluation). The primary Outcome was pain intensity using a 0–10 Numeric Rating Scale (NRS), complemented by physiological indicators (blood pressure, pulse, respiratory rate, temperature, oxygen saturation) and behavioral responses. In the pre-operative phase, pain decreased from NRS 4 to NRS 2 after deep breathing relaxation, along with improved vital signs. In the post-operative phase, pain decreased from baseline NRS 5 to NRS 3 after a 15-minute benson relaxation session and further to NRS 2 at the next follow-up (≈30 minutes), with a trend toward stabilized vital signs. Given the Perioperative setting, analgesics/anesthesia and the surgical procedure may confound pain Outcomes; therefore, findings are reported descriptively without attributing the changes solely to relaxation techniques. This case suggests that standardized relaxation techniques can be integrated into Perioperative nursing care to support comfort in hydronephrosis patients.
Efektivitas Dukungan Ventilasi terhadap Pola Napas pada Pasien Tuberkulosis di IGD RS TK. II Pelamonia Makassar Haeni, Nur; Sudarman, Sudarman; Emin, Wan Sulastri; Asfar, Akbar
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/3f5nkx41

Abstract

Pulmonary tuberculosis may impair ventilation and increase the work of breathing, placing patients at risk of an ineffective breathing pattern. This case report describes nursing support for ventilation through nurse-led interventions of pursed-lips breathing (PLB) and the semi-Fowler position in a pulmonary tuberculosis patient with an ineffective breathing pattern diagnosis. A descriptive single case report was prepared following CARE guidelines and the nursing process. Observation was conducted for 24 hours in a 69-year-old male patient in the emergency department of RS TK II Pelamonia Makassar. Outcomes were recorded consistently at baseline (March 17, 2025, 10.00 WITA) and at 24-hour follow-up, including respiratory rate (RR), oxygen saturation (SpO₂), signs of respiratory distress, and dyspnea using the Modified Borg Dyspnea Scale. Nurse-led interventions (semi-Fowler 30–45° and structured PLB) were implemented alongside collaborative therapy (oxygen via nasal cannula at 4 L/min and nebulized combivent/pulmicort) as prescribed. Clinical improvement was observed in this case, indicated by a decrease in RR from 25 to 22 breaths/min, an increase in SpO₂ from 96% to 100%, and a decrease in Borg score from 5/10 to 3/10, accompanied by reduced accessory muscle use. Conclusion: the nursing care package (PLB and semi-Fowler position) together with collaborative therapy was followed by improved breathing outcomes in a single pulmonary TB case; causality and generalization are limited and further studies are needed.
Penerapan Balut Tekan sebagai Strategi Penanganan Awal Perdarahan Vulnus Laceratum di IGD Puskesmas Liwuto Kota Baubau Erman, Achmad Rinaldi; Taqiyah, Yusrah; Muhajirin, Muhajirin; Asfar, Akbar
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/t3q8k068

Abstract

Laceration wounds (vulnus laceratum) may cause pain and external bleeding, requiring prompt initial management to prevent excessive blood loss. One simple early bleeding control strategy is direct pressure maintained with a pressure dressing. This case report describes the use of a sterile pressure dressing in a male patient (Mr. L) with a left plantar foot wound due to glass injury, accompanied by pain and active bleeding, presenting to the emergency unit of Liwuto Primary Health Center, Baubau. Data were obtained through clinical observation, brief interview, and review of available medical records/procedure sheets. Pain was assessed using the Numeric Rating Scale (NRS), while bleeding outcome was operationalized using bleeding status (active/controlled), dressing status (wet/dry), and time to hemostasis. After sterile pressure dressing application and 4-hour monitoring, pain decreased from NRS 8 to 3, and active bleeding was no longer observed at the 4-hour evaluation. These findings indicate clinical improvement in this case, but interpretation is limited by single-case design (n=1) without controls, incomplete quantitative serial bleeding documentation, and potential confounding from concomitant interventions (e.g., analgesics).
Penerapan Head Up terhadap Kesadaran Pasien Cedera Kepala di IGD RSUD Sayang Rakyat Hayati, Nur Ummi; Asfar, Akbar; Emin, Wan Sulastri; Sudarman, Sudarman
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/nthdvm87

Abstract

Head injury is a traumatic disturbance of brain function that may or may not be accompanied by interstitial bleeding within the brain substance (2,4,5). Emergency management aims to prevent secondary brain injury, including optimizing ventilation/oxygenation and cerebral perfusion, as well as patient positioning. A common non-invasive measure is 30° head elevation (Head-Up) to facilitate cerebral venous drainage. To describe changes in consciousness level (Glasgow Coma Scale/GCS) following the application of a 30° Head-Up position in a patient with moderate head injury in the emergency department. A single-patient case report in the emergency department of RSUD Sayang Rakyat Makassar. The primary Outcome was serial GCS recorded at baseline before elevation (T0) and during observation until transfer. Head-Up 30° was an independent nursing intervention; oxygen therapy was recorded as collaborative therapy. A 50-year-old male (Mr. R) with moderate head injury and subdural hemorrhage. At T0 (10:15 WITA) GCS was 3-3-5; at 10:45 WITA it remained 3-3-5; it increased to 3-3-6 at 12:50 WITA and remained 3-3-6 until 13:54 WITA when the patient was transferred to the operating room. Available observation lasted approximately 3 hours 39 minutes; the planned 8-hour follow-up was not completed due to definitive transfer. In this case, 30° head elevation (with collaborative oxygen therapy) was followed by an improvement in GCS from 3-3-5 to 3-3-6 during ED observation. As descriptive evidence, this report cannot establish causality but supports the use of 30° Head-Up as part of non-invasive early management for head injury.
Co-Authors Agustini, Tutik Ahmad, Aktsar Roskiana Al Ikhsan Agus Alam, Rizky Iftitah Alam, Rizqy Iftitah Aldri Frinaldi Alwi, Muhammad Khidri Amelia Hartika Rani Amir, Haeril Ana Jurhana Andi Ferdi Febriansa Andi Mappanganro Armelia Sri Diah Safitri Asnaniar, Wa Asnaniar, Wa Ode Sri Baso, Mohamad Fauzan Besse Aulia Rahma Brajakson Siokal Brajokson Siokal Darmawati Darmawati Dian Islamiati Tandialo Dioso, Regidor III Djafaar, Nurul Annisa DWI SURYANTO Efendy, Rahmat Eka Lutfiatus Solehah Emin, Wan Sulastri Erman, Achmad Rinaldi Erna Erawati Ernasari Evy Damayanti Fatma Jama Fazlin binti syafruddin Febriansa, Andi Ferdi Ferdita, Wiwin Haeril Amir Hairil Akbar Hardiyanti Hardiyanti Hassan, Hafizah Che Hayati, Nur Ummi Idelriani Idelriani Imran, Putri Ayu Trininda Irmiatinarahma Pago Jabal Nur Djafar Jama, Fatma Joko Prasetyo Laboro, Pratiwinsih Lailan, Nur Lailan, Nur Alfiah M. Rezki Aulia Rahman Marwah Majid Matdoan, Riska Amelia Muhajirin Muhajirin Maliga Muhajirin Muhajirin Muhajirin, Muhajirin Murfat, Moh Zulkifli Muslimah Kurniawati Nadia Jesica Aprilia Nadila Hafazi Alkatiri Ndari, Sriwulan Novitri Cahyani Marinda NUR FADILLAH Nur Haeni Nur Wahyuni Munir Nurbaeti nurfitri Nurlia Rahma Arman Nurul Annisa Djafaar Rahmawati Ramli Rais Razak, Rais Ramli, Rahmawati Resky Yani Rezky Nur Inayah Rini Rahmadani Riska Bolio Rusdianto Rusdianto, Rusdianto Safruddin Sakir, Rahmi Samsualam, Samsualam Samsul, Wawan Adi Saputra Sandi Kurniawan Selpin, Selpin Siti Hadijah Syam Stefani Kasim Sudarman Sudarman Sudarman Sudarman Sudarman Suhermi Suhermi, Suhermi Sumarno Sunarti Sunarti Sunarti Taqiyah, Yusrah Tisna HS Sianu Tjahjaningrum, Sajekti Tutik Agustini Virsa Handayani Wahyuningsih Wan Sulastri Emin Wan Sulastri Emin Yulia Ervianti Yusrah Taqiyah Zaekil, Ahmad