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Hubungan Tingkat Kecemasan dengan Akses Vaskular Cimino (Fistula Arteriovenosa) Pada Pasien Yang Menjalani Terapi Hemodialisa di RSU Royal Prima Medan Tahun 2024 Agfornidar Zalukhu; Saniyyah Aribah Dhilla Br. Sitohang; Chelsea Paulina Duha; Wiajeng Mustikah; Juniati Simanjuntak; Karmila Br. Kaban
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.43567

Abstract

Background: The kidneys may slowly and irreversibly suffer damage from chronic kidney disease (CKD). Polycystic kidney disease, diabetes mellitus, hypertension, glomerular inflammation, HIV/AIDS, and other medical disorders are common causes of this illness. The purpose of this study is to investigate the association between hemodialysis patients' anxiety levels and their CImino vascular access at Royal Prima Medan General Hospital. In 2024, hemodialysis patients at Royal Prima Medan General Hospital will be studied to see whether there is a correlation between anxiety levels and cimino vascular access. The study will use quantitative methodology and a cross-sectional analytic survey methodology. This study's sample was selected using an accidental sampling strategy, which involves selecting samples by random via chance encounters with researchers who might be good sources of information. To determine the link between several nominal and ordinal variables, bivariate analysis employs the Chi-Square test. Conclusion: Out of the total number of respondents, 28 had extremely long-term usage, with 5 having extremely long-term usage making up a minority. According to the data, which shows a substantial correlation between anxiety levels and cimino vascular access in hemodialysis patients (p < 0.05), we may reject H0 and embrace Ha. Recommendations: For Participants and Study Sites, For Future Scholars
Asuhan Keperawatan pada Tn. K dengan Masalah Sistem Respiratori TB Paru di RSU Royal Prima Medan Ranila Buulolo; Rael Malia Putri Wau; Nurul Amira Tamimi; Juniati Simanjuntak; ⁠Yusni Sianipar; Afeus Halawa
JPNM Jurnal Pustaka Nusantara Multidisiplin Vol. 4 No. 3 (2026): July : Jurnal Pustaka Nusantara Multidisiplin (ACCEPTED)
Publisher : SM Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59945/jpnm.v4i3.1318

Abstract

Tuberkulosis paru merupakan penyakit infeksi menular yang menyerang sistem respiratori dan dapat menimbulkan gangguan oksigenasi, penumpukan sekret, demam, nyeri dada, serta penurunan kondisi umum pasien. Studi kasus ini bertujuan menggambarkan asuhan keperawatan pada Tn. K dengan masalah sistem respiratori akibat tuberkulosis paru di RSU Royal Prima Medan. Metode yang digunakan adalah studi kasus dengan pendekatan proses keperawatan meliputi pengkajian, diagnosis, perencanaan, implementasi, dan evaluasi. Data diperoleh melalui wawancara, observasi, pemeriksaan fisik, pemantauan tanda vital, pemeriksaan status respiratori, hasil laboratorium, dan dokumentasi keperawatan. Hasil pengkajian menunjukkan pasien mengalami sesak napas berat, batuk berdahak kental kehijauan, flek darah saat batuk, nyeri dada kanan, demam, keringat malam, penurunan berat badan, frekuensi napas 28 kali per menit, suhu 39,2°C, dan SpO₂ 90%. Diagnosis keperawatan yang ditegakkan meliputi gangguan pertukaran gas, bersihan jalan napas tidak efektif, hipertermia, dan nyeri akut. Implementasi dilakukan melalui pemantauan respirasi, posisi semi-Fowler, terapi medis, edukasi kesehatan, dan latihan batuk efektif. Evaluasi menunjukkan peningkatan SpO₂ menjadi 98 sampai 99%, penurunan frekuensi napas, suhu tubuh, serta berkurangnya sputum. Latihan batuk efektif membantu memperbaiki bersihan jalan napas pasien.