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Jurnal VNUS (Vocational Nursing Science)
Published by Sekolah Tinggi Ilmu Kesehatan Muhammadiyah Ciamis
ISSN : -     EISSN : 26568799     DOI : https://doi.org/10.52221/jvnus
Core Subject : Health,
Nursing
Journal VNUS (Vocational Nursing Science) is an Electronic Journal managed by the DIII Nursing Study Program of STIKes Muhammadiyah Ciamis. This journal is published regularly 2 times a year (May and November), and is a facility for the academic community in the health and nursing fields. The scope of this journal includes manuscripts in the fields of medical-surgical nursing, emergency and disaster nursing, critical nursing, pediatric nursing, maternity nursing, mental health nursing, gerontological nursing, community health nursing, management and leadership nursing. The VNUS (Vocational Nursing Science) journal accommodates the work of lecturers, students, and other health experts as a means of scientific publication.
Arjuna Subject : Keperawatan - Advanced and Specialised Nursing
Articles 77 Documents
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Case Study: Status of Nutritional Assessment of Wound Healing After Appendectomy Surgery in Appendicitis Patients Ade Fitriani; Dadi Hamdani; Risa Lutfiatul Rohimah
Jurnal Vocational Nursing Sciences (VNUS) Vol 6 No 1 (2024): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v6i1.307

Abstract

Objective: This case study is intended to intervene and implement the nutritional status of appendicitis patients in improving the wound healing process with nausea after appendicectomy surgery. Method: In the nursing care research process, methods were used which included assessment, nursing diagnoses, planning, implementation and evaluation which were carried out for 3 days in the Anggrek BLUD room at the Banjar City Hospital. Enforcement of nursing diagnoses refers to the Indonesian Nursing Diagnosis Standards (IDHS). Indonesian Nursing Intervention Standards (SIKI), Indonesian Nursing Outcome Standards (SLKI), and nursing evaluations are documented using the SOAPIER method. Result: Nursing diagnosis of Deficit Nutrition related to postoperative nausea, nutritional status assessment for 3 days was carried out on the healing of surgical wounds. From the results of the data analysis, the researcher concluded that the nursing problems experienced by clients were nutritional deficits (D.0019) associated with postoperative nausea. The problem of excessive nutritional deficits for clients is partially resolved, marked by the loss of feelings of nausea when given food, being able to digest food properly, measuring the client's body mass index which is found to be normal, improving the client's nutrition is fulfilled by consuming high-calorie, high-protein foods. Conclusion: Conclusions can be drawn in the results of the nursing procedure commencing with evaluation, identification of nursing issues, actions, execution, and assessment of nursing. Concluded the problem of nutritional deficits related to postoperative nausea with an appendectomy with an assessment of nutritional status can improve the wound healing process as indicated by the response of clients who obtain changes in nutritional status with the wound healing process. Assessment of nutritional status is proven to be able to improve the postoperative wound healing process, the benefits of assessing nutritional status by fulfilling the client's nutrition are maximally implemented if done periodically and in stages.
Case Study of Nursing Care For An Elderly Family With Hypertension Problems Aneng Yuningsih
Jurnal Vocational Nursing Sciences (VNUS) Vol 4 No 2 (2022): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v4i2.411

Abstract

Introduction: Hypertension is one of the health issues brought on by degenerative processes that many elderly people experience. The estimated number of hypertension cases in Indonesia is 63,309,620 people, with (55.2%) hypertension occurring in the 55-64 year age group, then (45.3%) in the 45-54 year age group, and (31.6%) in the age group 31-44 years. To reduce these cases, family nursing care is one strategy used, with a focus on five family health tasks: identifying health issues, making decisions about health issues for sick families, caring for sick families, changing the environment inside and outside the home that affects family health, and using health service facilities. Objective: To describe family nursing care at the growth and development stages of elderly people with hypertension problems. Method: Using descriptive methods with a case study approach. Results: Based on a case study conducted on five elderly families with hypertension, Diagnosis: Risk of Ineffective Cerebral Perfusion Disorders, Knowledge Deficit About Hypertension Control, Non-Compliance, Ineffective Family Health Management, and Ineffective Health Management Conclusion: The nursing care provided to the family resulted in the family nursing problems that emerged being partially resolved.
Decreased Foot Sensitivity as a Predictor of Diabetic Foot Ulcers Wayunah Wayunah; Wiwin Nur Aeni; Martin Kuncoro; Muhammad Saefulloh
Jurnal Vocational Nursing Sciences (VNUS) Vol 6 No 1 (2024): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v6i1.550

Abstract

Introduction: Diabetic foot ulcers are a complication that often occurs in people with diabetes mellitus. This complication begins with a decrease in foot sensitivity which leads to neuropathy, resulting in frequent trauma to the feet. Decreased foot sensitivity in the form of decreased sensation of heat, cold, and pain is a dangerous complaint because it has a very high risk of causing foot ulcers or neuropathic foot ulcers. Objective: This study aimed to determine the relationship between the level of foot sensitivity and the incidence of dibetic foot ulcers in diabetes mellitus patients. Method: The type of research is a descriptive correlation with a cross-sectional approach. The population, all DM pstients at Internal Medicine Clinic 1 and 2 Indramayu District Hospital. The sample was 48 people taken by accidental sampling. Data collection tools used observation sheets and 10 G monofilament, while data analysis techniques used the Chi-square test. Result: The research results obtained from 44 respondents showed that 22 respondents (%) experienced neuropathy. Of these, 21 (95.5%) had ulcers. Meanwhile, of the 26 respondents who did not have neuropathy, 21 (80.8%) did not have ulcers. The results of further analysis obtained a p-value of 0.000 and an OR value of 88.2. Conclusion: The conclusion from this study is that there is a relationship between the level of sensitivity and the incidence of diabetic foot ulcers. DM patients who experience neuropathy are 88.2 times more likely to develop ulcers than those who do not experience neuropathy. Suggestions are given to nurses to continue making efforts to prevent diabetic foot ulcers by checking the sensitivity of the patient's feet regularly, at least once a year.
The Effectiveness of Implementing Art Therapy in Reducing Anxiety Among the Elderly at The Budi Agung Social Welfare Center Violin Irene Ninef; Maria Altin Wala; Marlince Aplonia; Kristina E T Lobho
Jurnal Vocational Nursing Sciences (VNUS) Vol 6 No 1 (2024): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v6i1.551

Abstract

Introduction: The increasing aging population raises concerns about the well-being of the elderly, with anxiety being one of the significant yet often overlooked issues. Art Therapy has been recognized as a promising approach to address anxiety, particularly in the elderly. However, research on the effectiveness of Art Therapy in reducing anxiety among the elderly remains limited, especially at the Budi Agung Social Welfare Center in Kupang. Objective: This study aims to evaluate the effectiveness of implementing Art Therapy in reducing anxiety levels among the elderly at the Budi Agung Social Welfare Center in Kupang. Method: This study employed a quantitative approach with a pre-test post-test control group experimental design. The research population comprised elderly individuals residing at the Budi Agung Social Welfare Center in Kupang. The sampling method utilized was simple random sampling, resulting in a total of 60 elderly participants divided into two groups: the intervention group (receiving Art Therapy) and the control group (without intervention). Data were collected through anxiety questionnaires and observations. Data analysis was conducted using non-parametric statistical tests, such as the Wilcoxon Signed-Rank Test and the Mann-Whitney U Test. Result: The analysis results indicated a significant decrease in anxiety levels within the intervention group following the implementation of Art Therapy (p < 0.05). There was a significant difference observed between the anxiety scores of the intervention group and the control group. Observations also revealed positive changes in the behavior and emotional expression of the elderly participants after undergoing Art Therapy. ConclusionArt Therapy has been proven effective in reducing anxiety among the elderly at the Budi Agung Kupang Social Welfare Center. The practical implication of this finding underscores the importance of integrating art therapy, such as Art Therapy, into elderly health programs to enhance their quality of life and well-being.
The Relationship Between Activities of Visits to the Elderly Posyandu and The Elderly's Level of Independence Aneng Yuningsih; Dara Indah KKH; Nandang Wahyu
Jurnal Vocational Nursing Sciences (VNUS) Vol 6 No 1 (2024): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v6i1.555

Abstract

Background: Posyandu for the elderly is a service for the elderly community which aims to improve health and create a happy, healthy, independent and efficient old age. For elderly people who do not actively utilize health services at the elderly posyandu, their health condition cannot be monitored properly, so that if they experience a risk of disease due to a decline in body condition and the aging process, it is feared that this could have fatal and life-threatening consequences. Objective: This research aims to find out The relationship between active visits to elderly posyandu and the level of independence of elderly people at Posbindu Waluya Purwaharja 1, Banjar City. Research Method: This research is a quantitative correlation research with a survey research design. Time approach with a retrospective method. Results: from the results of the Chi Square statistical test, a P value of 0.000 is smaller than alpha 0.05. Conclusion: There is a relationship between the activeness of elderly posyandu visits and the level of independence of elderly people at Posbindu Waluya Purwaharja 1, Banjar City. Suggestion: Elderly people are expected to have greater awareness of the importance of elderly posyandu, the need for family support and new innovations to increase the attractiveness of elderly people to come to elderly posyandu
Implementation of Pilates Exercises to Reduce Pain Scale in Low Back Pain Patient Ade Fitriani; Mia Rosmiati
Jurnal Vocational Nursing Sciences (VNUS) Vol 6 No 2 (2024): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v6i2.587

Abstract

Introduction: Low back pain or lower back pain is pain that occurs in the waist or buttocks area which usually persists for a long time. Working as a disabled person is the dominant cause of LBP, including the profession as a nurse. LBP is the third disease that often occurs in the world, including in Indonesia. Pain is a problem caused by LBP, so it will interfere with sufferers in carrying out daily activities. Pain is a term for a complex reaction caused by physiological reactions in the nervous system. Objective: This case study aims to reduce pain intensity in low back pain patients. Method: This research is in the form of a case study with a descriptive method with a nursing care approach which includes assessment, nursing diagnosis, nursing care plan, nursing implementation and nursing evaluation. Results: The results of the case study at the assessment stage showed that Ms. M with the problem that emerged was acute pain so the nursing diagnosis was obtained as acute pain related to a physiological injury agent (SDKI), with the criteria for decreased pain results (SLKI). The intervention used uses the Standard Nursing Intervention (SIKI). Conclusion: The intervention was carried out over four meetings. By using NRS (Numeric Rating Scale) and FPS (Face Pain Scale) measurements, after carrying out Pilates exercises, a decrease in pain was obtained with the result that there was a decrease in pain intensity from initially severe pain with a pain scale of 8 (0-10) to mild pain with a scale of pain 3 (0-10).
Implementation of Benson Relaxation Intervention to Reduce Pain in Post Sectio Caesarea Patients Elis Roslianti; Lestari Utami
Jurnal Vocational Nursing Sciences (VNUS) Vol 6 No 2 (2024): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v6i2.595

Abstract

Introduction: Acute pain is a physiological problem found in patients undergoing surgery, one of which is sectio caesarea. Efforts are made to overcome this problem by applying the Benson relaxation technique. Objective: This case study seeks to provide a detailed description of the benson relaxation intervention and its effectiveness in reducing pain in patients undergoing sectio caesarea surgery. Method: The method used is descriptive qualitative, using case study techniques to review nursing care, with reference to the SDKI and SIKI books. The focus of this case study is on an individual, Mrs. N, a 28-year-old woman who underwent sectio caesarea, diagnosed with severe pain and received treatment at Teratai 2 Room of Banjar City Hospital. The case study was conducted from May 30 to June 01, 2024 using data collection strategies of interview, observation, physical examination and documentation study. Result: After providing nursing care to clients who underwent sectio caesarea, the symptoms found at the time of assessment included surgical scar pain precisely in the lower abdomen. The nursing problem found is acute pain associated with physical injury agents, as mentioned in the SDKI book. Appropriate interventions to relieve the pain by doing benson relaxation. When the intervention takes place, the process runs smoothly until the assessment stage. At the evaluation stage there was a decrease in the pain scale from 6 to 3 (0-10). Conclusion: The implementation of benson relaxation proved to be very helpful in reducing post sectio caesarea pain, as evidenced by the client's subjective recognition. This finding is consistent with previous writing, making it a valuable reference for further writing. Benson relaxation intervention can be an alternative way to reduce postoperative pain, one of which is in the case of post sectio caesarea pain experienced in hospitals and health centers.
Assertive Training Intervention on Anger Control in Patients with Violent Behavior with Paranoid Schizophrenia Asep Gunawan; Sulistiarini Sulistiarini
Jurnal Vocational Nursing Sciences (VNUS) Vol 6 No 2 (2024): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v6i2.602

Abstract

Introduction: Paranoid schizophrenia is characterized by a cycle of relapses. This relapse is usually caused by bad events before they are revived with anger. Violent behavior is that and anger or rage. A problem that usually results from violent behavior is the patient's inability to control his anger. Anger management must be done to prevent unwanted things, one way to control violent behavior is through verbal interventions, namely assertiveness training. Based on WHO (2021). 35 million people have depression, 60 million have bipolar disorder, 47.5 million have dementia and 24 million have paranoid schizophrenia. Purpose: The purpose of this case study is to provide a nurse for patients with violent behavior with a self-efficacy training intervention for anger management. The method used is a descriptive and case study approach. The sampling technique was adopted by one patient with paranoid schizophrenia and violent behavior problems in BLUD Banjar City Hospital. Method: a nursing process-based method using a qualitative descriptive design that includes assessment, diagnosis, intervention, implementation, and evaluation. Nursing refers to SDKI, SIKI, SLKI, and nursing assessments are documented using the SOAPIER method. A researcher conducted a thought-stopping therapeutic intervention for patients suffering from auditory hallucinations. A random sampling technique was used in this case study, ie one patient with auditory hallucinations was included. The analysis method uses interviews, observations and documentation. Result: The results of this study in the evaluation phase showed that the patients often threw tantrums, hit the walls, kicked the doors, spoke rudely quickly and sharply. Prescribed nursing diagnosis is violent behavior refers to Indonesian Nursing Diagnosis Standards (SDKI), intervention refers to Indonesian Nursing Intervention Standards (SIKI), Indonesian Nursing Outcome Standards (SLKI), evaluation and documentation refers to SOAPIER. The intervention uses 3 strategies to implement violent behavior and the focus of the intervention is assertiveness training. Conclusion: Providing an anger management training program for patients with violent behavior has been shown to be effective in paranoid schizophrenic patients with violent behavior problems.
Implementation of Non Pharmacological Therapy with Tomato Juice to Reduction High Blood Pressure in Elderly With Hypertension Dedi Supriadi; Elsa Maryana
Jurnal Vocational Nursing Sciences (VNUS) Vol 6 No 2 (2024): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v6i2.636

Abstract

Introduction: Hypertension or often called high blood pressure is a disorder of the circulatory system that causes blood pressure to increase to above the normal limit of 140/90 mmHg. Hypertension is a degenerative disease like diabetes mellitus which can attack anyone at a young or old age. Apart from that, hypertension is also a non-communicable disease but is still a global problem. The prevalence of hypertension cases in Indonesia is 63,309,620 people, while the death rate in Indonesia due to hypertension is 427,218 deaths. Patients with hypertension may benefit from non-pharmacological and pharmaceutical management interventions. Because 100 grams of tomatoes contain 100 grams of calories, 1 gram of protein, 4.2 grams of carbohydrates, 5 mg of calcium, 360 mg of potassium, 0.5 mg of iron, 40 mg of vitamin C, 1500 IU of vitamin A, 06 mg of vitamin B, and 94 g of water, tomatoes have the potential to lower blood pressure. Objective: The aim of this case study is to carry out nursing care for elderly people with hypertension problems and to see the effect of implementing tomato juice therapy to help lower blood pressure. Method: The method used is descriptive using a case study approach with the subject used as case study material being an elderly patient who has hypertension problems with a knowledge deficit. Patient and family data collection techniques include assessment stages, interviews, observation, physical examination, and also documentation studies. Results: Knowledge deficit nursing diagnosis related to lack of exposure to information with diagnosis number D.0111, given tomato juice intervention for 3 days by consuming tomato juice twice a day, after the intervention was carried out, the patient's nursing problem was resolved with a marked decrease in blood pressure from 160/ 100 mmHg drops to 150/90 mmHg. Conclusion: Providing tomato juice intervention has proven to be effective in helping reduce high blood pressure in hypertension sufferers. The benefits of this non-pharmacological therapy will be maximized if done regularly.
Implementation of Giving Date Juice to Increase Hemoglobin Levels in Patients with Anemia Iman Masluh Aziz; Dadi Hamdani
Jurnal Vocational Nursing Sciences (VNUS) Vol 6 No 2 (2024): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v6i2.661

Abstract

Introduction: Anemia is a disease characterized by a lack of red blood cells in the blood or what can be called hemoglobin (HB) levels in the blood that are lower than normal values. The diagnosis of anemia can be made if the hemoglobin level is <12g/dl in women and <13g/dl in men. Objective: This study was conducted to present the intervention of giving date palm juice to increase hemoglobin levels in anemia patients. Method: The reseach design used by the author is a case study with a nursing approach where this  research was carried out by collecting data starting from assessment, diagnosis, planning, implementation of activities and implementation of focused assessment. In this case study, a descriptive method was used with the main aim of problem exploration and an indepth analysis of anemia nursing was carried out to provide an overview of the case study. Result: The nursing diagnosis of ineffective peripheral tissue perfusion is related to decreased HB. The intervention of giving date palm juice was given for 10 days with 3 tablespoons a day. After the intervention was carried out, the nursing problem of ineffective peripheral tissue perfusion for the client was resolved, indicated by the HB value which was originally below the normal range. with an HB value of 10.8 gr/dl. After being given intervention, it increased to the normal range with HB results of 11.8 gr/dl. Conclusion: Giving date juice has proven to be useful in increasing Hemoglobin level.

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