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Jurnal Keperawatan Merdeka
Published by Poltekkes Kemenkes Palembang
ISSN : 2809302X     EISSN : 28092791     DOI : https://doi.org/10.36086/jkm.v2i2
Core Subject : Health,
Nursing
Jurnal Keperawatan Merdeka (JKM) merupakan jurnal yang dipublikasikan oleh Jurusan Keperawatan Politeknik Kesehatan kementerian kesehatan Palembang. Jurnal ini menerbitkan artikel penelitian dan pengembangan bidang keilmuan keperawatan, Lingkup Pulikasi Jurnal meliputi isu-isu terkait keperawatan dasar dan dasar keperawatan, manajemen kepemimpinan keperawatan, keperawatan medikal bedah, keperawatan gawat darurat, keperawatan kritis, keperawatan perioperative, keperawatan keluarga, keperawatan komunitas, keperawatan gerontik, keperawatan holistik, keperawatan anak, keperawatan maternitas, keperawatan jiwa maupun keilmuan keperawatan spesifik lainnya, pada lingkup nasional maupun global.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 123 Documents
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Implementasi Keperawatan Manajemen Nyeri Pada Pasien Gastritis Dengan Nyeri Akut Di IGD Syokumawena, Syokumawena; Sulistini, Rumentalia; Sari, Shely Permata; Jaya, Herawati
JKM : Jurnal Keperawatan Merdeka Vol 4 No 1 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i1.2173

Abstract

Background: Gastritis is an inflammation of the stomach wall caused by irritation of the gastric mucosa. Gastritis caused by bacterial infections such as Helicobacteri pylory and irritant foods and drinks. The problem posed isacute pain. Nursing interventions to address this problem are pain management. Objective: This case study aims to describe the implementation of nursing pain management in patients gastritis with acute pain. Method: This case study design is a descriptive design in the form of a case study with a nursing care process approach. The case study subjects were 4 patients in the emergency room with the criteria of experiencing gastritis with problems acute pain. This case study was conducted at Muhammadiyah Palembang Hospital on March 16-23, 2023. The nursing implementation provided was in the form of warm compress and deep breath relaxation to reduce pain in gastritis patients, in patient 1 before the implementation of the pain scale was 5 and fell to 3, the second patient initially had a pain scale of 4 decreased to 2, in patient 3 the initial scale of 5 was reduced to a scale of 2, and finally patient 4 before the technique was carried out the pain scale in patients is 5 after being carried out down to a scale of 3. Using data collection techniques by means of observation, and interviews. Results: The research results describe the need for implementation pain management (warm compress and deep breath relaxation) to reduce pain in patients gastritis from a moderate pain scale to a mild pain scale. Conclusion: There is an influence in implementing pain management on acute pain in gastritis patients.
Terapi Musik Dan Imajinasi Terbimbing Pada Primigravida Pre Sectio Caesarea Dengan Ansietas Ningsih, Ratna; Jaya, Herawati; Rosyada, Tahirrou
JKM : Jurnal Keperawatan Merdeka Vol 4 No 1 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i1.2175

Abstract

Background: In particular, women can experience psychological disorders during the perinatal stage, around 20%, one of which is anxiety. Anxiety is a normal reaction to threats that can become a psychological health problem if the anxiety continues. According to research conducted by Purwaningrum (2018) it shows that giving music therapy for 20 minutes is more effective in reducing anxiety in preoperative SC patients because it can make the mother relax and can divert the anxiety that will be faced during the surgery she will face. The purpose of giving this therapy is to find out if there is a decrease or increase in anxiety in the client. Methods: The design of this study used a descriptive method with 4 clients, namely primigravida pre sectio caesarea with anxiety nursing problems. The research data was taken using interviews and observation. The results of data collection are presented in the form of tables and narratives. Results: The implementation of music therapy nursing and guided imagery in the four primifravida pre-sectio caesarea mothers decreased anxiety levels. Conclusion: Actions that can be taken on primigravida pre sectio caesarea clients with anxiety problems can be in the form of music therapy and guided imagery and are effective to do.
Studi Kasus: Penerapan Stretching Static Untuk Menurunkan Intensitas Nyeri Pada Lansia Osteoarthritis Feri, Jhon; Juartika, Wella; Nurlela, Nurlela
JKM : Jurnal Keperawatan Merdeka Vol 4 No 1 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i1.2177

Abstract

Background: Osteoarthritis is an inflammatory disease of the joints that causes pain and stiffness in the joints in older adults. Joint pain management in older adults can be treated with static leg stretching exercises. Leg stretching static exercise is a relaxation technique through static life activities and active life which is expected to reduce the intensity of pain and muscle stiffness through a training process that makes the muscles flexible and ready to move and helps the body transition from less movement to more activity, without causing tension. Research Objectives: To describe the nursing implementation of applying static stretching to reduce pain intensity in elderly osteoarthritis in the Citra Medika Public Health Center working areaLubuklinggau City in 2023. Research Method: Descriptive research, with a case study approach, through 2 subjects with a medical diagnosis of osteoarthritis, which shows the nursing problem of acute pain. This research was conducted by implementing leg static stretching exercises for 15-30 minutes for five visits. Numerical pain assessment is used to carry out pre-and post-implementation assessments. Research Results: Implementation was carried out for one week (06-12 April 2023) on subjects I and II. In both subjects, the intensity of pain before the action was in the moderate category (scale 7) for subject I, and in subject II, it was in the moderate category (scale 6). The result was that after the implementation of 5 visits, the results of the two subjects showed a decrease in pain intensity, becoming mild pain (pain scale 3). Conclusion: The application of static foot stretching as physica activity, education on diet managemen, as a companion to osteoarthritis drug therapy has tshows effective results in reducing the pain intensity of older adults with osteoarthritis
Implementasi Keperawatan Teknik Relaksasi Otot Progresif Pada Pasien Post Sectio Caesarea Dengan Nyeri Akut Jaya, Herawati; Ningsih, Ratna; Syokumawena, Syokumawena
JKM : Jurnal Keperawatan Merdeka Vol 4 No 1 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i1.2186

Abstract

Background: Labour caesarean section is a method of surgical delivery by making incisions in the abdominal wall and uterine wall. Post caesarean section injury to the operating area occurs which can cause tissue damage and pain. Progressive muscle relaxation technique is a relaxation therapy by tightening and relaxing the muscles at a time to give a feeling of relaxation. The purpose of this study was to reduce pain in postoperative patients caesarean section. Methods: The research design uses a descriptive method in the form of a case study. The subjects studied were 2 patients with the same cases and nursing problems, namely post-patients caesarean section with acute pain at Muhammadiyah Palembang Hospital. This research was conducted on 17-19 March 2023 and 20-22 March 2023 Results: Progressive muscle relaxation techniques have been shown to reduce acute pain in postoperative patients caesarean section. Before performing the progressive muscle relaxation technique both patients experienced moderate pain, after the progressive muscle relaxation technique was implemented the pain scale experienced by both patients became mild pain/ Conclusion: Implementation of progressive muscle relaxation techniques in postoperative patients caesarean section with acute pain can effectively reduce acute pain that is felt and can be applied to both patients.
Penerapan Manajemen Nyeri Dengan Terapi Relaksasi Otot Progresif Penderita Hipertensi Erman, Imelda; Shobur, Sherli; Utami, Mega; Febriani, Indra; Athiutama, Ari
JKM : Jurnal Keperawatan Merdeka Vol 4 No 1 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i1.2188

Abstract

Background: Hypertension is one of the non-communicable diseases (PTM) which is currently increasing both prevalence and incidence, especially in the elderly group. Hypertension is a systolic blood pressure of more than 140 mmHg and a diastolic pressure of more than 90 mmHg. Methods: This case study uses a descriptive design with a nursing process approach. This research was conducted on March 7, 2022 to March 11, 2022. The number of samples used was 2 people with 4 consecutive days of action. The research was conducted in the Working Area of the Merdeka Health Center in Palembang. Results: The results showed that after the action of progressive muscle relaxation therapy for 4 days, there was a change in the pain scale from pain scale 4 to 2 in client 1 and client 2 from pain scale 5 to pain scale 2. Conclusion: The results of the study indicate that there are changes in the headache scale of hypertensive patients before and after progressive muscle relaxation therapy for 4 days with a time of approximately 15 minutes.
Penerapan Teknik Relaksasi Napas Dalam Pada Pasien Pasca Apendektomi Dengan Masalah Nyeri Akut Susanti, Eva; Sulistini, Rumentalia; Anggraini, Fadilla
JKM : Jurnal Keperawatan Merdeka Vol 4 No 1 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i1.2201

Abstract

Background: Appendectomy is an operation performed to cut the inflamed appendix. The complaint that often arises after appendectomy surgery is acute pain. The aim is to get an overview of the implementation of deep breathing relaxation nursing to overcome the problem of acute pain in post-appendectomy patients at the Muhammadiyah Palembang Hospital. The case study subjects that will be studied are two people, a man and a woman after appendectomy with acute pain problems. Method: using analytical descriptive methods in the form of case studies to provide comprehensive nursing care. Results After implementing the nursing relaxation technique of deep breathing 3 times a day for 2 minutes on 3 consecutive days, the two post-appendectomy patients experienced a decrease in the pain scale. In patient 1, from a pain scale of 5 down to a pain scale of 2 and in patient 2, from a pain scale of 6 down to a pain scale of 2. Conclusion: The application of deep breathing relaxation techniques to both post-appendectomy patients can reduce the intensity of pain from a moderate pain scale to a mild pain scale.
Asuhan Keperawatan Pada Pasien Hipertensi Dengan Nyeri Kepala Menggunakan Foot Massage Dan Progresive Muscle Relaxation Ridawati, Indah Dewi; Febrianti, Rizky Alda
JKM : Jurnal Keperawatan Merdeka Vol 4 No 1 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i1.2223

Abstract

Background: Hypertension is a silent killer, since it lacks noticeable symptoms and definitive indicators of its presence. The therapy of hypertension involves both pharmaceutical and non-pharmacological approaches. Complementary therapy, such as Foot Massage and Progressive Muscle Relaxation, may be used as a non-pharmacological treatment for hypertensive patients. This therapy has the potential to enhance blood circulation, alleviate muscular tension, mitigate stress, and decrease blood pressure. Methods: The research used a descriptive methodology using a case study technique, with a sample size of 2 participants who were diagnosed with hypertension. This study was carried out over a period of 30 minutes, during which the researchers made three visits to participants' homes., Results: Following the implementation of Foot Massage and Progressive Muscle Relaxation techniques to alleviate pain in individuals with hypertension, a reduction in pain intensity was observed. Subject I initially reported a pain level of 6 on the pain scale, which decreased to 3 after the application of Foot Massage and Progressive Muscle Relaxation. Similarly, subject II experienced a decrease in pain from a level of 5 to 2 after receiving the same treatments. Conclusion: Utilising Foot Massage and Progressive Muscle Relaxation techniques may progressively enhance blood circulation and alleviate pain levels
Kesiapan Remaja Menghadapi Menarche Melalui Pendidikan Kesehatan Metode Peer Group Putri, Prahardian; AIP, Yolanda; Yulia, Sri
JKM : Jurnal Keperawatan Merdeka Vol 4 No 1 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i1.2240

Abstract

Background: Menarche is a condition when a woman experiences her first menstruation. Menarche is a crisis situation for the growth and development of adolescent girls because it can cause embarrassment, anxiety and fear. One way for young women to have readiness to face menarche is to provide information about menstruation correctly through health education. The purpose of this study was to determine the effect of peer group health education method on adolescents' readiness to face menarche. Methods: This study was conducted using quasy experimental method with nonequivalent control group design. The sample size was 92 respondents with probability sampling technique. The analysis used Two Independent Sample Test with Mann Whitney. Results: This study shows the effect of peer group method health education on adolescents' readiness to face menarche. Conclusion: Adolescent readiness in facing menarche is increased to the provision of peer group method health education.
Implementasi Keperawatan Terapi Hipnosis Lima Jari Pada Orang Tua Yang Memiliki Anak Autism Spectrum Disorder Pastari, Marta; Endriyani, Sri; Martini, Sri; Hisaan, Gina Khairaatun
JKM : Jurnal Keperawatan Merdeka Vol 4 No 1 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i1.2241

Abstract

Background: Autism is a serious neurobiological developmental disorder that occurs in children, causing problems for children to communicate and relate to their environment. Most parents have various emotional reactions when they find out that their child has autism. So it has a negative impact on parents both physically and psychologically, including parents who experience feelings of worry or anxiety (Mulyadi & Sutadi, 2014). Method: The design of this case study is descriptive with a nursing care approach that focuses on nursing implementation and evaluation. The subjects used in this case study were four patients with the same case and nursing problem, namely anxiety. The research location in this case study was at Nu_Kids Integrated Therapy, carried out for seven days for each patient, varying according to the date of visit from March to April 2023. Data collection methods used were interviews, observation, physical examination, implementation and assessment scales. The results of data collection are presented in the form of tables and narratives. Results: Before the researcher implemented five finger hypnosis therapy on clients, the researcher needed to build a relationship of mutual trust (BHSP) with the four clients in order to gain the trust of the clients. After BHSP, researchers used the SRQ questionnaire to determine the level of anxiety experienced by clients. It was found that Mrs. D value is 7 (there is a psychological problem of anxiety). To Mrs. S value is 6 (there is a psychological problem of anxiety). To Mrs. N value is 7 (there is a psychological problem of anxiety). To Mrs. NA value is 6 (there is a psychological problem of anxiety). The researcher then carried out the implementation of five-finger hypnosis nursing therapy for 7 days, once a day for 10-15 minutes, then the client would repeat it at home independently. After 7 days of implementing five finger hypnosis, the researcher assessed the client's response; where is Mrs. D can now speak relaxedly, his face is no longer tense, Mrs. S can concentrate again, Mrs. NA really understands and can carry out five finger hypnosis therapy without being facilitated or assisted by researchers, Mrs. N can now calm down and relax, and is starting to get used to relaxing when doing anything. Conclusion: The results of this study indicate that after being given the implementation of Five Finger Hypnosis Therapy, the four clients (100%) no longer experienced anxiety disorders with a score of Mrs. D and Mrs. N = five, Mrs. NA and Mrs. S = 4 (Score < 6 means there is no psychological problem of anxiety). So it can be concluded that five finger hypnosis therapy is effective in reducing anxiety.
Penerapan Prenatal Yoga Untuk Mengatasi Nyeri Punggung Akut Pada Ibu Hamil Trimester III Ridawati, Indah Dewi; Feri, Jhon; Basdafa, Annisa Prayudis Tripanca
JKM : Jurnal Keperawatan Merdeka Vol 4 No 2 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i2.2275

Abstract

Background : Back pain is one of the discomforts of pregnant women in the third trimester. If back pain in pregnant women is not treated immediately, it can cause back pain in the long term, increase in back pain after giving birth, and become chronic back pain. Efforts are being made to overcome acute back pain by implementing prenatal yoga. Methods : This research design uses a descriptive research method with a case study approach using 2 people as subjects, namely third trimester pregnant women in the Swasti Saba Community Health Center Work Area in March 2024 for 3 days. The data in this study was taken using interviews and direct observation of pregnant women in the third trimester. Results : The implementation of prenatal yoga carried out on 2 subjects was quite helpful in reducing the back pain scale of pregnant women, for the subject for the first 1 day the back pain scale was 6 (moderate pain) until the last day it dropped to 3 (mild pain) and for the subject for the first 2 days the back pain scale was 5 (moderate pain) until the last day it dropped to 2 (fair pain). Conclusion : The application of prenatal yoga is quite helpful in reducing the level of acute back pain in third trimester pregnant women.

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