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Nurse and Holistic Care
Published by Universitas Nahdlatul Ulama Surabaya
ISSN : 27976971     EISSN : 27977188     DOI : https://doi.org/10.33086/nhc
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
“Nurse and Holistic Care" is a Scientific Journal managed by Institute for Research and Community Services of Nahdlatul Ulama University, Surabaya. The scope of this journal is articles in the fields of health, public health, midwifery and nursing (basic nursing, medical surgical nursing, pediatric nursing, maternity nursing, family and community health nursing, emergency and critical nursing, mental health nursing, gerontological nursing, and also nursing management). This journal is published in print and online every 4 months (3 times in a year), namely April, August and December. Each issue contains a minimum of 6 articles.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 95 Documents
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CLAPPING, VIBRATING, POSTURAL DRAINAGE, AND EFFECTIVE COUGH AS MEASURES TO RESOLVE THE PROBLEM OF INEFFECTIVE AIRWAY CLEARANCE IN PATIENTS WITH BRONCHITIS Pranoto, Wahyu; Bistara, Difran Nobel; Soleha, Umdatus; Winoto, Priyo Mukti Pribadi
Nurse and Holistic Care Vol. 4 No. 2 (2024): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v4i2.4987

Abstract

Introduction: Bronchitis is characterized by excessive sputum production due to an infection in the bronchi. In patients with bronchitis, it can cause nursing problems in the form of ineffective airway clearance. Ineffective airway clearance is the inability to clear the airway which is characterized by changes in frequency, pattern, and breath sounds. Objective: The purpose of this study was to apply nursing care to patients with the application of Clapping, Vibrating, Postural Drainage, and Effective Coughing to overcome ineffective airway clearance in the Azzahra 1 Room, RSI Jemursari Surabaya. Methods: The design of this research is a case study; the time of research is 13-15 October 2022 in the Azzahra 1 Room, RSI Jemursari Surabaya. The subject used is 1 bronchitis patient (Mr. B) with a nursing diagnosis of ineffective airway clearance. The research was conducted using interviews accompanied by physical examination, observation, and documentation. Nursing care given to patients with a nursing care process approach includes assessment, nursing diagnosis, intervention, implementation, and evaluation. Results: The results of the case study found that the patient had a cough with phlegm for 2 weeks, chest pain when coughing, increased sputum production, had rhonchi, and the patient was an active smoker. Evaluation of the results of nursing care with effective Clapping, Vibrating, Postural Drainage, and Coughing for 3 days once a day showed decreased rhonchi, decreased sputum production, and patients can cough effectively independently. Conclusions: Clapping, vibrating, postural drainage and effective coughing can help clear secretions to maintain a patent airway. Nurses are expected to be able to apply effective chest and cough physiotherapy to patients so that optimal action is achieved and the patient performs independently.
IMPLEMENTATION OF HEALTH EDUCATION USING AUDIO-VISUAL MEDIA ON PERINEAL WOUND CARE IN POSTPARTUM MOTHERS WITH KNOWLEDGE DEFICIT PROBLEMS IN THE ROSE ROOM RSI JEMURSARI SURABAYA Wati, Reni Dwi Novita; Kamariyah, Nurul; Afiyah, R. Khairiyatul; Ainiyah, Nur
Nurse and Holistic Care Vol. 4 No. 2 (2024): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v4i2.5106

Abstract

Introduction: The problem that often occurs in postpartum mothers is the lack of knowledge of mothers in caring for perineal wounds. Objective: The purpose of this study was to analyze nursing care for postpartum mothers by providing education through audio-visual media about perineal wound care to overcome knowledge deficits. Methods: The research design uses a case study; the subject of this research is Mrs. R with knowledge deficit nursing problems. The case study was carried out on December 26-27, 2022, with a data collection method covering assessment to evaluation by means of anamnesis, physical examination, and observation. The research location was carried out in the Rose Room of RSI Jemursari Surabaya. Results: The results obtained after providing education through audiovisual media about perineal wound care at Mrs. R for 2 days were that the client's knowledge was getting better, verbalization of interest in learning increased, the ability to explain knowledge about a topic increased and questions about the problems faced increased. Conclusions: Case studies show that education through audiovisual media can overcome knowledge deficits in postpartum mothers about perineal wound care. It is expected that health workers will apply the provision of education through audiovisual media to postpartum mothers who experience a deficit of knowledge.
ANALYSIS OF NURSING CARE THROUGH WOUND CARE FOR POST-OP CA MAMMAE PATIENTS WITH NURSING PROBLEMS AT INFECTION RISK AMONG POST-OP CA MAMMAE PATIENTS IN ROOM G1 RSPAL DR. RAMELAN SURABAYA Djumati, Sarmi; Hasina, Siti Nur; Winoto, Priyo Mukti Pribadi; Afiyah, R. Khairiyatul
Nurse and Holistic Care Vol. 4 No. 2 (2024): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v4i2.5122

Abstract

Introduction: Ca Mammae postoperative patients experience wounds susceptible to infection if not treated properly. Objective: This study aims to analyze nursing care through wound care for Post Op Ca Mammae patients with nursing problems at infection risk for Post Op Ca Mammae patients in Room G1 RSPAL Dr. Ramelan Surabaya. Methods: The research design of this final scientific work uses the case method, with the subject being one patient with nursing problems and a risk of infection with a medical diagnosis of Ca Mammae. The research was conducted in Room G1 RSPAL Dr. Ramelan Surabaya for six days, using data collection methods including comprehensive assessment, diagnosis, intervention, implementation, and evaluation. Results: The results of a case study on Ca Mammae with nursing problems of infection risk show that being given nursing care therapy with wound care can reduce the risk of infection so that the client looks fitter, the wound is covered with sterile gauze, the bleeding stops, the wound edges start to dry on the 7th day, the pain scale 3, no signs of redness, body temperature 36.3 0C, no swelling around the surgical wound, reduced odor, the middle wound is still wet and requires further care at home Conclusions: Wound care can reduce infection risk in post-op Ca Mammae patients. Nurses are expected to be able to continue applying wound care to other clients who have the risk of infection problems and educate the public about post-cancer wound care while at home.
ANALYSIS OF NURSING CARE FOR THE ELDERLY USING THE IMPLEMENTATION OF VIRGIN COCONUT OIL (VCO) TO OVERCOME SKIN INTEGRITY DISORDER IN DERMATITIS AT THE JAMBANGAN WREDA NURSING HOME, SURABAYA Anggraini, Dewi Puspita; Zahroh, Chilyatiz; Noventi, Iis; Setiyowati, Eppy
Nurse and Holistic Care Vol. 4 No. 2 (2024): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v4i2.5129

Abstract

Introduction: Dermatitis can disrupt skin integrity, with sufferers feeling itchy, damage to the skin layer, and decreased skin elasticity causing the skin to become dry and scaly. Objective: This study aims to provide nursing care by administering virgin coconut oil (VCO) to elderly people suffering from dermatitis to overcome skin integrity disorders at the Surabaya Nursing Home. Methods: The research method used is a case study. The subject of this research is Mrs. T is 77 years old with problems with skin integrity disorders and was given virgin coconut oil (VCO). The assessment was conducted through interviews and direct observation of the patient using a gerontic nursing care sheet and applying VCO according to the SOP. Results: The results obtained in this study were, after 5 days of intervention, giving virgin coconut oil (VCO) 2x a day, the results were obtained with reduced itching, and elasticity from scale 2 (quite decreased) to scale 5 (increased) as evidenced by visible skin. Quite moist which was initially dry and scaly, tissue damage from scale 2 (quite increased) to scale 5 (decreased) it was proven that inflammation around the skin area decreased which initially had a red rash, damage to the skin layer from scale 2 (quite increased) to scale 5 (decreased) results showed that the reddish rash on the skin decreased, the blackened wound spots decreased. Conclusions: The use of virgin coconut oil reduces itching, increases skin elasticity, reduces tissue damage, and reduces damage to the skin layer.
ANALYSIS OF NURSING CARE IN STROKE PATIENTS WITH THE PROVISION OF ELEVATION HEAD POSITION TO OVERCOME NURSING PROBLEM RISK OF INEFFECTIVE CEREBRAL PERFUSION AT RSI SURABAYA A. YANI Nur Hamidah Maghfiro; Wardani, Erika Martining; Rusdianingseh; Muhith, Abdul
Nurse and Holistic Care Vol. 4 No. 2 (2024): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v4i2.5138

Abstract

Introduction: Stroke treatment must be done quickly and precisely because the longer the stroke is not treated immediately, the higher the severity of the stroke. One of the complications of stroke is cerebral circulation disorders which cause several symptoms including cerebral tissue hypoxia. Objective: This study aimed to analyze nursing care for stroke patients by giving elevated head positions to overcome the nursing problem risk of ineffective cerebral perfusion at RSI Surabaya A. Yani. Methods: This research design is a case study with  Mrs. M who has nursing problems at risk of ineffective cerebral perfusion. Data collection was done directly by interview, observation, and physical examination of Mrs. M and her family directly. Nursing interventions for providing elevated head positions are carried out for three days for 30 minutes daily. Results: The results showed that after implementation there was a significant increase in oxygen saturation in Mrs. M on the first day SpO2 95%, on the second day SpO2 97%, and on the third day SpO2 99%. In addition to an increase in oxygen saturation, there was an increase in the outcome criteria to be achieved, namely the level of consciousness on a scale of 4 (moderately improved), headache on a scale of 4 (moderately decreased), average blood pressure values on a scale of 4 (moderately improved), and awareness on a scale of 4 (moderately improved). Conclusions: Giving an elevated head position is effective in increasing oxygen saturation in stroke patients with nursing problems of ineffective cerebral perfusion risk. Room nurses can perform elevation head positioning to improve oxygen saturation in stroke patients with nursing problems at risk of ineffective cerebral perfusion.
IMPLEMENTATION OF BRAIN GYM THERAPY IN ELDERLY WITH DEMENTIA EXPERIENCING MEMORY IMPAIRMENT AT UPTD GRIYA WREDA JAMBANGAN SURABAYA: CASE STUDY Effendi, Rusdi
Nurse and Holistic Care Vol. 4 No. 2 (2024): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v4i2.5141

Abstract

Introduction: The aging process that occurs in the elderly can be described linearly through three stages: weakness (impairment), functional limitations, lack of ability (disabled), and obstruction (handicap). These will be experienced simultaneously with process setbacks, Good physique, mental or social. Wrong one system body which deterioration is a cognitive or intellectual system often called dementia. Efforts to prevent dementia include brain gymnastics. Objective: This research aimed to determine the application of brain gym at UPTD Griya Wreda Jambangan Surabaya. Methods: This research design uses a case study through nursing care for Mrs. M with memory problems and conducting assessments and evaluations. The data collection method is by interviewing and observing Mrs. M. Results: The results of applying brain gym for 6 x 2 weeks with a duration of 5-10 minutes showed that there was an increase in the MMSE examination score, which was obtained with a value of 21 (moderate cognitive impairment). There is an increase in the orientation section of 3 points, remembering 1 point, and language 1 point. Examination using the SPMSQ showed 3 (mild intellectual decline). Conclusions: Brain gym therapy can be used as a non-pharmacological therapy to treat memory disorders in elderly people with dementia. Health workers are expected to be able to teach and accompany the elderly in implementing brain gymnastics as an effort to maintain the cognitive function of the elderly.
THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND DIET PROVISION IN DIABETES PATIENTS Timba, Velenia Kahi; Gunawan, Yosephina Elizabeth Sumartini; Landi, Melkisedek; Mulu, Servasius To'o Jala
Nurse and Holistic Care Vol. 4 No. 3 (2024): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v4i3.5804

Abstract

Introduction: Effective diabetes management requires strict adherence to dietary guidelines. Family support plays a critical role in helping patients with diabetes maintain appropriate nutritional practices. Objective: This study aims to analyze the relationship between family support and the dietary management of diabetes patients. Methods: This research was conducted at a Community Health Center in East Sumba Regency using a cross-sectional method. The Independent Variable is Family Support with sub-variables of Assessment Support, Instrumental Support, and Informational Support, while the Dependent Variable is the Provision of DM Diet. Thirty-eight respondents were selected randomly from the total population using the N-1 formula. Data were collected using the Family Support questionnaire and analyzed using a correlation test with α = 5%. Results: Assessment support (42%), instrumental support (61%), and information support (55%) were reflected as family support and categorized as sufficient. Diet provision for diabetic patients is also considered sufficient (53%). However, the correlation test showed no significant relationship between family support and diet provision for diabetic patients (sig 0.462). Conclusions: Although family support was a sufficient criterion in this study, this support did not significantly affect the diet management of diabetic patients. This result indicates that other factors may influence the patient's diet more.
ANALYSIS OF FAMILY NURSING WITH THE APPLICATION OF MUSIC THERAPY TO SCHIZOPHRENIA CLIENTS TO OVERCOME DISORDER OF SENSORY PERCEPTION Efendi, Yumita; Setiyowati, Eppy; Rusdianingseh; Zahroh, Chilyatiz
Nurse and Holistic Care Vol. 4 No. 3 (2024): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v4i3.4762

Abstract

Introduction: Auditory hallucinations are a common sensory perception disorder affecting approximately 70% of individuals diagnosed with schizophrenia. Various factors contribute to hallucinations, including physical, emotional, intellectual, social, and spiritual dimensions. Objective: This study aims to evaluate the effectiveness of music therapy in mitigating sensory perception disorders in individuals with schizophrenia. Methods: A descriptive case study approach was employed. Data were collected through interviews, observations, and physical examinations involving clients and their families. The Standard Operating Procedure (SOP) for Classical Music Therapy was utilized. The study focused on a single individual experiencing auditory hallucinations within a family setting. Results: Implementing music therapy over four days (one session per day, approximately 13 minutes) resulted in reduced auditory disturbances, decreased anxiety, improved sleep quality, and a decline in the Auditory Hallucination Rating Scale (AHRS) score from 24 to 11, along with a reduction in the Hamilton Rating Scale for Anxiety (HRS-A) score from 26 to 12. Conclusions: Classical music therapy effectively reduces auditory hallucinations and alleviates anxiety in individuals with schizophrenia. Therefore, it is recommended as a non-pharmacological intervention and an independent nursing practice for managing sensory perception disorders.
ANALYSIS OF PSYCHIATRIC NURSING CARE IN SCHIZOPHRENIC PATIENTS WITH APPLICATION OF OCCUPATIONAL THERAPY IN FREE TIME ACTIVITIES TO OVERCOME HALLUCINATIONS Alfiya; Hidaayah, Nur; Fitriasari, Andikawati; Rohmawati, Riska
Nurse and Holistic Care Vol. 4 No. 3 (2024): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v4i3.4968

Abstract

Introduction: Hallucinations are a mental health problem that is difficult to get rid of due to several factors such as socio-cultural where a person does not believe in his environment, causing anxiety and focusing on his hallucinations. Objective: This study examines the impact of occupational therapy in free time activities on schizophrenia patients experiencing hallucinations. The findings suggest that structured activities significantly reduce the frequency and intensity of hallucinations, improving overall patient well-being. The research highlights the importance of psychiatric nursing interventions in managing schizophrenia symptoms. Methods: The design used is a case study. Research subject Mrs. E is 50 years old in the flamboyant room of RSJ Menur with hallucinatory perception disorder nursing problems, free time occupational therapy (expressive writing and listening to music) is carried out 9 meetings with a duration of 30 minutes. The data collection instrument used mental health insurance sheets through observation techniques, interviews, and patient medical records. Results: The results of the study after the intervention of leisure occupational therapy (Expressive Writing and Listening to Music), show patients can write down their feelings in written form that cannot be expressed orally and can use spare time such as listening to music to provide a relaxing effect so that patients can control emotions and divert feelings the hallucinations. Conclusions: The use of leisure occupational therapy (Expressive Writing and Listening to Music) to reduce hallucinatory symptoms can be an alternative to fill the patient's spare time so that patients can divert their hallucinations and the relaxing effect of music can control the client's emotions from the effects of hallucinations, namely anxiety. In the future, it is hoped that in hospitals, especially flamboyant inpatient rooms, there will be SOPs for this therapy as a therapeutic option to reduce signs and symptoms of hallucinations.
ANALYSIS OF NURSING CARE IN NSTEMI PATIENTS WITH THE APPLICATION OF DEEP BREATHING RELAXATION AND MURATTAL THERAPY TO OVERCOME THE PROBLEM OF ACUTE PAIN Milaningrum, Kartika; Ainiyah, Nur; Soleha, Umdatus; Firdaus
Nurse and Holistic Care Vol. 4 No. 3 (2024): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v4i3.5012

Abstract

Introduction: Non-ST Elevation Myocardial Infarction is usually caused by severe narrowing of the coronary arteries, this can cause chest pain that can last long and intense, cold sweat, nausea and vomiting, and feeling as if you are facing death. Objective: This study investigates the application of deep breathing relaxation and Murattal therapy in nursing care for NSTEMI patients experiencing acute pain. The research assesses their effectiveness in pain management, revealing significant reductions in pain levels post-intervention. These results suggest their potential integration into nursing practice and the need for further exploration into non-pharmacological pain management strategies. Methods: This research uses a case study design with a nursing care process approach. The participant was a 55-year-old patient with a diagnosis of NSTEMI who experienced acute pain. The instrument used is an observation sheet with a measurement scale using a Numerical Rating Scale. Results: Before deep breathing relaxation therapy and Murattal therapy, it was found that the patient experienced moderate pain with complaints of pain during strenuous activity, pain like stabbing, pain in the chest that penetrated the back, pain scale 5 (moderate pain), persistent pain frequency, whereas, after management pain relief, deep breathing relaxation therapy, Al-Qur'an Murattal therapy 1x/day for a total of 3 days with a total duration± 25 minutes, it was found that the patient's pain decreased to become lighter with complaints of pain during strenuous activities, the quality of pain was like stabbing, pain in the chest penetrated to the back, pain scale 2 (mild pain), the frequency of pain began to disappear. Conclusions: The conclusion from the results of the case study shows that deep breathing relaxation therapy and Murattal therapy which are carried out routinely and according to the procedure are effective for reducing chest pain in Mr.I with NSTEMI. Suggestions for nurses to routinely provide deep breathing relaxation therapy and Murattal therapy to patients who experience NSTEMI.

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