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Pengaruh Latihan Gerak Pinggul (Stretching) Terhadap Skore Nyeri Pinggul Pada Lansia di Posyandu Lansia Kusumaningrum, Puput Risti; Suyami, Suyami; Widiawati, Very
Jurnal Perawat Indonesia Vol. 4 No. 1 (2020): May 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Hasil wawancara dengan lansia di Posyandu pada lansia di susun Trosari menunjukkan bahwa untuk mengatasi sakit punggung, lansia biasanya pergi ke klinik untuk pemeriksaan kesehatan lansia setiap hari rabu. Lansia juga melakukan senam setiap hari untuk mendukung kebugaran fisik lansia, tetapi masih banyak lansia yang mengeluh sakit punggung yang tidak hilang telah membaik dengan menerapkan olahraga setiap hari. Tetapi latihan gerak pinggul statis belum dilakukan untuk mengurangi nyeri punggung pada lansia. Tujuan penelitian ini untuk mengetahui pengaruh pencegahan senam panggul pada nyeri skala rendah di Posyandu Lansia di Dusun Trosari, Patuk, Gunung Kidul. Desain penelitian ini menggunakan desain pre eksperimen dengan pendekatan one group pre test post test design. Teknik pengambilan sampel menggunakan teknik purposive sampling dengan jumlah sampel 10 lansia. Analisa data menggunakan paired t test. Karakteristik responden (usia ratarata 66.30 tahun, jenis kelamin laki-laki sebanyak 70%, pendidikan SD sebanyak 70% dan pekerjaan yang tidak bekerja sebanyak 40%. Skor nyeri pinggul pada lansia sebelum diberikan pencegahan latihan gerak pinggul untuk lansia di desa Trosari dusun Patuk Gunungkidul dengan rata-rata 5.8. Skor nyeri pinggul pada lansia sesudah diberikan pencegahan latihan gerak pinggul untuk lansia di desa Trosari dusun Patuk Gunungkidul dengan rata-rata 3.3. Perbedaan skor nyeri pinggul sebelum dan sesudah diberikan pencegahan latihan gerak pinggul yaitu 2.50. Terdapat pengaruh pencegahan latihan gerak pinggul untuk lansia di desa Trosari dusun Patuk Gunungkidul. The results of the interview with the elderly at the Posyandu in the elderly inTrosari hamlet show that to deal with back pain, the elderly usually go to theclinic for an elderly health check every Wednesday. Elderly also take gymnasticsevery day to support the physical fitness of the elderly, but there are still many elderlypeople who complain that their back pain that never goes away has improved eventhough it has been applied to exercise every day. However, Static Stretching exerciseshave not been carried out to reduce back pain in the elderly. The aim of the study wasto determine the effect of Gymnastics Prevention of Low Pain on the Scales of Hip Painin the Elderly at the Elderly Posyandu in Trosari Hamlet, Patuk Gunungkidul. Thedesign of this study used Pre Experimental with the design of the One Group Pre TestPostTest Design. The purposive sampling sampling technique is 10 people. Dataanalysis using paired t-test. Characteristics of respondents (age with a mean of 66.30years, gender is male as much as 70%, education ie elementary school as much as70% and work that is not working as much as 40%). Hip pain scoring in the elderlybefore being given the Pain Relief Gymnastics Prevention in the Elderly Village ofTrosari Hamlet Patuk Gunungkidul with an average of 5.8. Scores of hip pain in the elderly after being given Elderly Pain Prevention of Lower Back Pain Exercise in Trosari Patuk Hamlet, Gunungkidul with an average of 3.3. Differences in hip pain scores before and after Low Back Pain Prevention Gymnastics were 2.50. There is the effect of Gymnastics Prevention of Low Back Pain Against Hip Pain in the Elderly at the Elderly Village of Trosari Hamlet Patuk Gunungkidul

Perilaku Hidup Bersih Dan Sehat (PHBS) Siswa/siswi di Sekolah Menengah Pertama Negeri (SMPN) Hendrawati, Sri; Rosidin, Udin; Astiani, Santi
Jurnal Perawat Indonesia Vol. 4 No. 1 (2020): May 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Perilaku hidup bersih dan sehat di lingkungan sekolah merupakan sekumpulan perilaku yang dipraktikan oleh peserta didik, guru, dan masyarakat lingkungan sekolah sebagai hasil pembelajaran. Permasalahan yang muncul di sekolah menengah pertama negeri menunjukan siswa/siswi tidak melakukan PHBS seperti jarang melakukan cuci tangan dengan air mengalir dan sabun, jarang menggunakan jamban sehat, jarang membuang sampah pada tempatnya sehingga terjadi beberapa kasus kejadian penyakit dseperti diare, cacingan, typoid, dan maag. Penelitian ini bertujuan untuk mengidentifikasi gambaran PHBS pada siswa/siswi di sekolah menengah pertama negeri. Penelitian ini menggunakan desain penelitian deskriptif kuantitatif. Populasi pada penelitian ini adalah siswa/siswi di SMPN 3 dan SMPN 4 di Wilayah Kerja Puskesmas Guntur Garut yang berjumlah 1458. Teknik pengambilan sempel menggunakan stratified random sampling sehingga didapatkan 317 orang. Penelitian ini menggunakan intrumen kuesioner PHBS di sekolah. Data dianalisis secara univariat dengan menggunakan nilai mean dan disajikan dalam distribusi frekuensi. Hasil penelitian menunjukan bahwa setengah dari responden yaitu sebanyak 160 (50,5%) siswa/siswi sudah berperilaku baik dalam berperilaku hidup bersih dan sehat, dan hampir setengah responden yaitu sebanyak 157 (49,5%) siswa/siswi masih berperilaku buruk dalam berperilaku hidup bersih dan sehat. PHBS pada siswa/siswi ini harus lebih ditingkatkan lagi dengan cara pemberdayaan UKS bekerjasama dengan perawat yang ada di puskesmas terdekat dengan melakukan penyuluhan tentang PHBS.Clean and healthy life behaviour in school environment is an accumulation of behaviours which are practiced by students, teachers, and community as a result of learning. Problems which arose in junior high school showed that students did not do clean and healthy life behaviour such as rarely washing their hands with running water and soap, rarely using healthy toilets, rarely throwing garbage in the right places so that there were several cases of diseases such as diarrhea, intestinal worms, typoid, and peptic ulcer.This research aimed to identify the description of clean and healthy life behaviour in SMPN 3 and SMPN 4 Garut in the area of Guntur Community Health Centre. The research method used descriptive quantitative. The population in this research was students of SMPN 3 and SMPN 4 Garut, with the total of 1458. The sampling technique used stratified random sampling so that 317 people were obtained. This research used the clean and healthy life behaviour questionnaire instrument in schools. Data were analyzed univariately using mean values and presented in a frequency distribution. The results showed half of the respondents were 160 (50.5%) of students had behaved well in behaving clean and healthy, and almost half the respondents were 157 (49.5%) students still behaved poorly in the behavior of clean and healthy. PHBS for these students must be further improved by empowering School Health Unit in collaboration with the nurses at the nearest community health centre by conducting education about clean and healthy life behaviour.

Penerapan Protokol Recruitment Perawat Berbasis Kompetensi Di Rumah Sakit Santa Elisabeth Medan RUPANG, ERNITA RANTE; Nurmaini, Nurmaini; Simamora, Roymond H.
Jurnal Perawat Indonesia Vol. 4 No. 1 (2020): May 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Protokol recruitment perawat berbasis kompetensi merupakan suatu pedoman dalam pelaksanaan recruitment perawat yang terdiri dari regulasi, pedoman, standar prosedur operasional (SPO). Penelitian ini bertujuan mengetahui pengaruh penerapan protokol recruitment perawat berbasis kompetensi di Rumah Sakit Santa Elisabeth Medan. Partisipan penelitian 16 orang. Metode penelitian: action research. Data kuantitatif yaitu tingkat pengetahuan partisipan diperoleh melalui penyebaran kuesioner dianalisis menggunakan statistik deskriptif diperoleh hasil adanya peningkatan pengetahuan sebelum dan sesudah pelaksanaan recruitment dengan menggunakan protokol recruitment berbasis kompetensi dari 80% menjadi 100%. Data kualitatif diperoleh dari hasil FGD, analisa dengan content analysis. Dampak Penerapan Protokol recruitment perawat berbasis kompetensi di Rumah Sakit Santa Elisabeth Medan adalah perekrutan yang dilaksanakan lebih sistematis sesuai alur/prosedur yang telah ditetapkan; jumlah pelamar lebih banyak hasil dari perekrutan lebih bermutu.Implementation of Competency-Based Nurse Recruitment Protocol at Santa Elisabeth Hospital, Medan Competency-based recruitment protocols at the Santa Elisabeth hospital in Medan is a guideline in the implementation of nurse recruitment which consists of regulations, guidelines, standard operating procedur (SPO). This study aims to determine the effect of the application of competency-based recruitment protocol at the Santa Elisabeth hospital in Medan. Study participants were 16 people. Research methods: action research. Quantitative data that is the level of participant knowledge obtained through the distribution of questionnaires were analyzed using descriptive statistics obtained the results of an icrease in knowledge before and after implementation of recruitment using competency based recruitment protocols from 80% to 100%. Qualitative data were obtained from FGD result, analysis with content analysis. The impact of the implementation of competency-based nurse recruitment protocols at the Santa Elisabeth hospital in Medan is the recruitment that is carried out more systematically according to the established procedures; the number of applicants more results from better quality recruitment.

Observasi Latihan Relaksasi Nafas Pada Pasien Chronic Kidney Diseases Dengan Fatigue Rohaeti, Sri Elis; Sutandi, Andi; Sari, Eka Afrima; Pratiwi, Sri Hartati; Platini, Hesti; Hamidah, Hamidah
Jurnal Perawat Indonesia Vol. 4 No. 1 (2020): May 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Menilai fatigue merupakan hal yang sangat penting karena fatigue sering meningkat secara langsung setelah dialysis.Masalah akan timbul jika fatigue pada pasien CKD tidak teratasi salah satunya adalah kualitas hidup yang buruk. Latihan nafas adalah teknik alami merupakan bagian strategi holistik self care untuk mengatasi keluhan seperti fatigue. Menggunakan teknik pernafasan yang efektif untuk menurunkan tingkat fatigue dapat menjadi manajemen fatigue yang dapat ditawarkan pada pasien CKD. Studi kasus ini bertujuan untuk mengobservasi penggunaan latihan nafas untuk mengatasi fatigue pada pasien CKD di Ruang Fresia 2 RSUP Dr.Hasan Sadikin Bandung. Penelitian dilakukan dengan pendekatan studi kasus pada 3 orang pasien dengan kriteria: pasien CKD stadium 5 dengan usia > 18 tahun, menjalani hemodialisis kurang dari 1 tahun, yang mengalami fatigue, dan lama rawat inap minimal 3 hari. Ketiga pasien mengalami fatigue dengan skor rata-rata fatigue hari pertama sebelum latihan relaksasi nafas 59.6 dan skor rata-rata setelah latihan relaksasi nafas adalah 55.6, skor rata-rata fatigue hari kedua sebelum latihan 54.6 dan setelah latihan 49, terdapat penurunan skor rata-rata setelah pasien mempraktikan latihan nafas pada hari pertama dan kedua. Hasil latihan relaksasi nafas yang dilakukan pasien dapat menurunkan level fatigue yang dirasakan pasien.Breathing relaxation observation in chronic kidney diseases patients with fatigue. Assessing fatigue is very important because fatigue often increases directly after dialysis. Problems will arise if fatigue in CKD patients is not resolved, one of which is poor quality of life. Breath training is a natural technique that is part of a holistic self care strategy to deal with complaints such as fatigue. Using effective breathing techniques to reduce the level of fatigue can be a management of fatigue that can be offered to CKD patients. This case study aims to observe the use of breathing exercises to overcome fatigue in CKD patients in Fresia Room 2 Dr.Hasan Sadikin Hospital Bandung. The study was conducted with a case study approach on 3 patients with criteria: stage 5 CKD patients> 18 years old, undergoing hemodialysis less than 1 year, who experienced fatigue, and a minimum stay of 3 days. All three patients experienced fatigue with an average score of fatigue the first day before breathing relaxation exercise 59.6 and the average score after breathing relaxation exercise was 55.6, the average score of fatigue the second day before exercise 54.6 and after exercise 49, there was a decrease in the average score after the patient practices breathing exercises on the first and second day. Conclusion: The results of breathing relaxation exercises by the patient can reduce the level of fatigue that is felt by the patient.

Pengaruh Intervensi Reiki Terhadap Tekanan Darah Pada Penderita Hipertensi di Puskesmas Megang Kota Lubuk Linggau Aprilyadi, Nadi; Zuraidah, Zuraidah
Jurnal Perawat Indonesia Vol. 4 No. 1 (2020): May 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Prevelensi hipertensi nasional berdasarkan Riskesdas 2018 sebesar 34,11%, tertinggi mengalami hipertensi di kalimantan selatan (44,13%) sedangkan terendah di papua (22,22%). Hal ini menunjukkan bahwa sebegian besar penderita hipertensi tidak menyadari menderita hipertensi ataupun mendapatkan pengobatan (Kemenkes, 2018). Penyakit hipertensi yang tidak terkontrol dapat menyebabkan kematian karena penyakit stroke dan penyakit jantung. Tekanan darah pada penderita hipertensi dapat dikontrol dengan pengobatan farmakologis dan pengobatan non farmakologis, salah satu pengobatan non farmakologis yaitu dengan latihan Reiki. Tujuan penulis melakukan penelitian ini adalah untuk mengetahui pengaruh intervensi reiki terhadap tekanan darah pada penderita hipertensi di Puskesmas Megang Kota Lubuk Linggau tahun 2019. Metode : penelitian ini adalah Quasi-experiment design dengan jenis one group pre test dan post test design. Teknik sampling menggunakan concecutif sampling. Sampel penelitian berjumlah 66 responden penderita hipertensi di Puskesmas Megang Kota Lubuklinggau. Hasil Penelitian Univariat diketahui distribusi frekuensi umur penderita hipertensi paling banyak pada umur 45-59 tahun sebanyak 39 responden (59.1%). Distribusi frekunesi jenis kelamin penderita hipertensi menunjukkan mayoritas perempuan sebanyak 49 responden (74.2%) dan distribusi frekunesi penurunan tekanan darah pasien hipertensi sebelum dan sesudah intervensi reiki yang tekanan darahnya turun setalah diberikan interensi reiki sebanyak 62 responden (93.2%). dengan menggunakan uji paired t test di ketahui nilai rerata sebelum dan setelah terapi komplementer Reiki dengan p value. 0,00 dapat disimpulkan bahwa ada pengaruh signifikan terapi komplementer Reiki terhadap penurunan tekanan darah pada penderita hipertensi. Kepada Puskesmas Megang agar tetap melanjutkan pengawasan dan meneruskan terapi Reiki untuk penderita hipertensi The prevalence of national hypertension based on Riskesdas 2018 is 34.11%, the highest is hypertension in South Kalimantan (44.13%) While the lowest is in Papua (22.22%). This shows that most hypertension sufferers are not aware of suffering from hypertension or getting treatment (Ministry of Health, 2018). Uncontrolled hypertension can cause death due to stroke and heart disease. Blood pressure in patients with hypertension can be controlled with pharmacological treatment and non-pharmacological treatment, one of the non-pharmacological treatments is Reiki training. The aim of the authors in conducting this research was to determine the effect of Reiki intervention on Blood Pressure in Patients with Hypertension in Megang Public Health Center in Lubuk Linggau in 2019. Method: This study was a quasi-experimental design with one group Pretests and posttests design. The sampling technique used concecutive sampling. The research sample of 66 respondents with hypertension in the Megang Public Health Center in Lubuklinggau. The results of Univariate Research revealed that the most frequent age distribution of hypertensive patients at the age of 45-59 years were 39 respondents (59.1%). The distribution of gender frequency of hypertension patients showed that the majority of women were 49 respondents (74.2%) and the frequency distribution of hypertension decreased blood pressure of hypertensive patients before and after Reiki intervention whose blood pressure dropped after being given Reiki interference as many as 62 respondents (93.2%). By using paired t test, the mean value before and after the Reiki complementary therapy with P value is known. 0.00 can be concluded that there is a significant effect of complementary Reiki therapy on reducing blood pressure in people with hypertension. To Megang Puskesmas to continue monitoring and continue Reiki therapy for hypertension sufferers.

Pengetahuan Anak Usia Sekolah tentang Cuci Tangan yang Benar di Kecamatan Martapura Ikasari, Filia Sofiani; Anggana, Renditya
Jurnal Perawat Indonesia Vol. 4 No. 1 (2020): May 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Anak usia sekolah merupakan anak dalam rentang usia enam hingga dua belas tahun. Pada rentang usia ini anak telah menghabiskan banyak waktu di sekolah dan berisiko tertular berbagai penyakit yang berasal dari lingkungan dan teman-teman di sekolah. Salah satu upaya pencegahan penularan penyakit adalah dengan melakukan cuci tangan. Kesadaran akan pentingnya cuci tangan dimulai dari pengetahuan. Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan anak usia sekolah tentang cuci tangan. Penelitian ini merupakan penelitian deskripsi sederhana pada anak kelas II, III, IV dan V di Sekolah Dasar Negeri Jawa 5 Martapura dengan jumlah sampel 393 responden. Responden didapat menggunakan teknik simple random sampling. Hasil penelitian menunjukkan bahwa tingkat pengetahuan responden yang baik sebanyak 55,7%, pengetahuan cukup 36,1% dan pengetahuan yang kurang sebanyak 8,2% tentang cuci tangan yang benar. Penelitian ini merekomendasikan perlunya pendidikan kesehatan yang disesuaikan dengan karakteristik anak usia sekolah dan diberikan secara berkelanjutan. Children's knowledge of schools about true washes in Martapura district. School-age children are children in the age range of six to twelve years. In this age range the child has spent a lot of time at school and at risk of contracting various diseases that come from the environment and friends at school. One effort to prevent transmission of disease is by washing hands. Awareness of the importance of hand washing starts with knowledge. This study aims to determine the description of the knowledge of school-age children about hand washing. This research is a simple description research in class II, III, IV and V students at the State Elementary School 5 Jawa Martapura with a sample of 393 respondents. Respondents obtained using simple random sampling technique. The results showed that respondents' good knowledge level was 55.7%, sufficient knowledge 36.1% and insufficient knowledge as much as 8.2% about proper hand washing. This study recommends the need for health education that suitable to the characteristics of school-age children and provided on an ongoing basis.

Studi Kasus: Status Pernafasan Pada Pasien Myasthenia Gravis di Ruang Azalea RSUP Dr. Hasan Sadikin Bandung Listia, Mia; Kalay, Mayriska; Kurnia, Dedi; Pahria, Tuti; Harun, Hasniatisari; Herliani, Yusshy Kurnia; Fitriana, Epi
Jurnal Perawat Indonesia Vol. 4 No. 1 (2020): May 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Myasthenia gravis (MG) merupakan penyakit autoimun kronis yang dimediasi oleh antibodi terhadap acetylcholin receptor (AChR) pada membran postsynaptic dari tautan otot saraf. Hilangnya situs AchR mengakibatkan kelemahan pada otot rangka yang berhubungan dengan pernafasan serta pergerakan ekstrimitas. Sebanyak 15 % – 20 % pasien dengan MG setidaknya mengalami satu kali myasthenic crisis. Myasthenic crisis merupakan keadaan darurat medis yang terjadi akibat kelemahan otot-otot pernafasan sehingga pasien mengalami penurunan status pernafasan. Tujuan : untuk mengetahui gambaran karakteristik dan menganalisis status pernafasan pasien MG. Metode : penelitian dekriptif dengan pendekatan observasi studi kasus. Teknik pengambilan sampel menggunakan consecutive sampling. Pengumpulan data dan pengkajian menggunakan form pengkajian asuhan keperawatan RSHS dan lembar observasi status pernafasan nursing intervention clasification. Hasil : karakteristik pasien dalam studi ini adalah pasien MG dengan riwayat gagal nafas, jenis kelamin perempuan, dengan klasifikasi klinis MG IIb dan IIIb. Hasil Kedua pasien mengalami keluhan kesulitan bernafass namun saat diobservasi pasien kedua mengalami dua kali gagal nafas karena melakukan aktivitas seperti berbicara lama, mengedan, dan tertawa berlebih yang mengakibatkan kelemahan pada otot-otot pernafasan sehingga terjadi peningkatan frekuensi pernafasan dan penurunan saturasi oksigen. Simpulan : edukasi yang tepat mengenai aktivitas serta observasi status pernafasan secara berkala dibutuhkan pasien MG agar dapat mengontrol dan mencegah terjadinya gagal nafas yang dapat menyebabkan kematian. Case Study: Respiratory Status of Patients Myasthenia Gravis at Azalea Room Hasan Sadikin Bandung Hospital. Myasthenia gravis (MG) is a chronic autoimmune disease that is mediated by antibodies to the acetylcholine receptor (AChR) in the post-synapses membrane of the neural muscle tissues. Loss of the AchR site results in weakness in skeletal muscle associated with breathing and limb movements. A total of 15%-20% of patients with MG have suffered a one-time crisis. The Myasthenic crisis is a medical emergency that occurs due to the weakness of the respiratory muscles so that the patient experiences decrease in respiratory status. Objective: to determine the characteristics and analyze the respiratory status of MG patients. Method: Descriptive research with an observation approach to case studies. The sampling technique uses consecutive sampling. Data collection and assessment used the RSHS nursing care assessment form and an observation sheet about the classification status of nursing interventions. Results: The characteristics of the patients in this study were MG patients with a history of respiratory failure, female sex, with clinical classification of MG IIb and IIIb. Both patients had a history of respiratory failure but when observed the second patient experienced two symptoms of respiratory failure due to activities such as prolonged talking, straining, and excessive laughter which resulted in weakness in the respiratory muscles which resulted in an increase in respiratory frequency and decreased oxygen saturation. Conclusion: proper education about the activity and observation of respiratory status regularly is needed by MG patients to be able to control and prevent respiratory failure which can cause death.

Observasi Penggunaan Posisi High Fowler Pada Pasien Efusi Pleura di Ruang Perawatan Penyakit Dalam Fresia 2 RSUP Dr. Hasan Sadikin Bandung : Studi Kasus Windiramadhan, Alvian Pristy; Sicilia, Asha Grace; Sari, Eka Afrima; Pratiwi, Sri Hartati; Platini, Hesti; Hamidah, Hamidah
Jurnal Perawat Indonesia Vol. 4 No. 1 (2020): May 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Efusi pleura merupkaan penimbunan cairan yang berlebihan pada rongga pleura sehingga menyebabkan seseorang mengalami sesak nafas. Tindakan yang dapat dilakukan untuk mengurangi sesak nafas dan meningkatkan oksigenasi agar tidak ketergantungan dengan pemberian oksigen dalam jangka panjang yaitu dengan posisi high fowler. Oleh karena itu peneliti tertarik untuk melakukan studi kasus tentang penggunaan posisi high fowler pada pasien efusi pleura di Ruang Fresia 2 RSUP Dr.Hasan Sadikin Bandung. Penelitian dilakukan dengan pendekatan studi kasus pada 3 orang pasien dengan krieria pasien yang di diagnosis efusi pleura pasien yang mengalami sesak nafas (RR > 24 x/menit), pasien dewasa atau lanjut, pasien dapat berkomunikasi dan bersedia diwawancara, terpasang CTT atau pigtail dan terpasang oksigen. Setelah dilakukan observasi selama tiga hari ada perbedaan nilai pernafasan dan saturasi oksigen sebelum dan sesudah posisi high fowler. Rentang nilai pernafasan sebelum posisi high fowler adalah 24 – 30 kali/menit dengan nilai saturasi oksigen 97 – 98%. Sedangkan rentang nilai pernafasan sesudah posisi high fowler adalah 22 – 27 kali/menit dengan nilai saturasi oksigen 98 – 99%. Posisi high fowler merupakan posisi pilihan untuk pasien yang mengalami sesak nafas khususnya pada pasien yang mengalami efusi pleura. Observation of Using High Fowler Position in Pleura Efficient Patients in The Medical Ward in Fresia 2 Dr. Hasan Sadikin Bandung Hospital: Case Study. Pleural effusion is an excessive accumulation of fluid in the pleural cavity and causing a person to experience shortness of breath. Actions that can be taken to reduce shortness of breath and increase oxygenation so as not to depend on the provision of oxygen in the long term is by positioning high fowler. Therefore researchers interested in conducting a case study of the use of high fowler positions in pleural effusion patients in Fresia Room 2 Dr.Hasan Sadikin Hospital Bandung. The study was conducted with a case study approach on 3 patients with patients who were diagnosed with pleural effusion of patients experiencing shortness of breath (RR> 24 x / min), adult or advanced patients, patients can communicate and be willing to be interviewed, CTT or pigtail attached and attached oxygen. After observing for three days there were differences in respiratory values and oxygen saturation before and after the high fowler position. The range of respiratory values before the high fowler position is 24-30 times / minute with an oxygen saturation value of 97-98%. While the range of respiratory values after the high fowler position is 22-27 times / minute with an oxygen saturation value of 98 - 99%. The high fowler position is the position of choice for patients who experience shortness of breath, especially in patients who experience pleural effusion.

Gambaran Pruritus Uremik Pasien Gagal Ginjal Kronik di Unit Hemodialisa Rumah Sakit Umum Pusat Haji Adam Malik Medan Sembiring, Friska; Nasution, Siti Saidah; Ariani, Yesi
Jurnal Perawat Indonesia Vol. 4 No. 1 (2020): May 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Uremic pruritus is one of patient’s complaint about chronic kidney disease which is an uncomfortable and itchy sensation and can cause disturbances during the day or night and can even occur throughout the day such as sleep disturbance, activity, depression and complications in the skin that can reduce the quality of life of patients with chronic kidney failure. This study aims to look at the description of uremic pruritus experienced by patients with chronic kidney failure using descriptive quantitative design. The instruments used in this study were demographic data and a 5-D itch scale questionnaire. This research was conducted at the General Hospital of Haji Adam Malik Medan in one month with a sample of 49 people. The results of the study of the characteristics of respondents describe the majority of elderly (26.5%) who suffer from uremic pruritus, male gender (61.2%), have experienced uremic pruritus for more than 6 weeks (100%), the majority have undergone hemodialysis> 1 year (79.6%) and the majority are no longer working (73.5%) and hypertension is the majority of concomitant diseases (73.5%) with an itching scale of 15-24 (moderate) of 59.2%. This study provides some information on the factors that cause and that aggravate the incidence of uremic pruritus in patients with chronic renal failure so that nurses can get more leverage in nursing care for patients with uremic pruritus, especially in patients with chronic kidney failure.

Studi Kasus : Status Neurologi Pasien Space Occupying Lesion Dengan Hiv dan Toxoplasmosis Cerebri Mutiudin, Ade Iwan; Sagala, Ridal; Pahria, Tuti; Herliani, Yusshy Kurnia; Harun, Hasniatisari; Pitriana, Epi
Jurnal Perawat Indonesia Vol. 4 No. 1 (2020): May 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Space occupying lesion merupakan desakan ruang yang diakibatkan peningkatan volume di dalam ruang intrakranial. Desakan ruang di intrakranial dapat mengakibatkan jaringan otak mengalami nekrosis sehingga dapat menyebabkan gangguan neurologik progresif. Pasien SOL dengan HIV dan Toxoplasmosis Cerebri menunjukkan hampir 80-90% ditemukan memiliki kelainan neurologik. Tujuan : menganalisis karakteristik pasien dan menganalisis status neurologi. Metode : penelitian dekriptif dengan pendekatan studi kasus observasi. Tehnik pengambilan sampel yang digunakan adalah consecutive sampling. Alat pengumpulan data menggunakan lembaran ceklis yang merupakan kriteria status neurologis berdasarkan Nanda, lembar observasi dan MMSE. Hasil : Durasi mulai sakit yang di alami kedua pasien lebih dari 3 bulan dengan lama hari perawatan lebih dari 7 hari. Kedua pasien mempunyai riwayat penyakit penyerta yang sama dan baru mendapatkan terapi Atiretroviral setelah dirawat di rumah sakit. Gangguan status neurologis yang paling dominan tampak pada pasien Space Occupying Lesion dengan HIV dan Toxoplasmosis Cerebri diantaranya : Keluhan sakit kepala, gangguan kognitif dan gangguan berbicara serta kelemahan otot. Saran : Monitoring status neurologi secara komprehensif merupakan bagian penting terutama pada pasien Space Occupying Lesion dengan HIV dan Toxoplasmosis Cerebri, agar pelayanan yang diberikan akan lebih optimal dan berkualitas. Sehingga dapat mengurangi angka morbiditas dan mortalitas yang diakibatkan oleh gangguan fungsi neurologi. Case Study : Neurology Status of Patients Space Occupying Lesion with HIV and Cerebri Toxoplasmosis. Space occupying lesion is the insistence of space caused by an increase in volume in the intracranial space. Pressure in the intracranial space can brain tissue to experience necrosis so that it can cause progressive neurologic disorders. SOL patients with HIV and Cerebri Toxoplasmosis show nearly 80-90% are found to have neurological abnormalities. Aims : To analyze patient characteristics and analyze neurological status. Method : Descriptive research with an observational case study approach. The sampling technique used was consecutive sampling. Data collection tools use checklist sheets which are neurological status criteria based on Nanda, observation sheets and MMSE. Results : Duration of pain started in both patients was more than 3 months with a length of treatment more than 7 days. Both patients had a history of the same comorbidities and had only received Atiretroviral therapy after being hospitalized. The most dominant neurological status disorders seen in Space Occupying Lesion patients with HIV and Cerebri Toxoplasmosis include: Complaints of headaches, cognitive disorders and speech disorders and muscle weakness. Suggestion: Monitoring Neurology Status comprehensively is an important part especially in the patient's occupying lesion with HIV, so that the service provided will be more optimal and quality. Thus, it can reduce the morbidity and mortality rates caused by impaired neurological functions.

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arief yanto

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name arief yanto

Contact Email arief.yanto@unimus.ac.id

Phone -

Journal Mail Official suhartini.ismail@fk.undip.ac.id

Editorial Address -

Location Kab. semarang, Jawa tengah INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
arief yanto

Contact Email
arief.yanto@unimus.ac.id

Phone
-

Journal Mail Official
suhartini.ismail@fk.undip.ac.id

Editorial Address
-

Location
Kab. semarang,

Jawa tengah

INDONESIA