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MEJORA
Published by Awatara Publisher
ISSN : -     EISSN : 30259584     DOI : https://doi.org/10.61434/mejora.v2i1
Core Subject : Health,
Dentistry Health Professions Nursing Public Health Veterinary
MEJORA Medical Journal Awatara adalah sebuah jurnal kesehatan yang berdedikasi untuk mendorong eksplorasi mendalam dalam berbagai aspek ilmu kesehatan dan dinamika masyarakat di era digital. Jurnal ini tidak hanya berfokus pada diseminasi informasi hasil penelitian klasikal tetapi juga mengambil peran sentral dalam memahami bagaimana perubahan teknologi digital mempengaruhi sektor kesehatan dan kesejahteraan masyarakat secara keseluruhan. Artikel-artikel di dalam MEJORA mencakup beragam topik, seperti telemedicine, aplikasi kesehatan digital, manajemen data kesehatan elektronik, pemberdayaan pasien dalam pengambilan keputusan kesehatan, implementasi alat wearable untuk pemantauan kesehatan, serta analisis big data dalam meramalkan tren penyakit. Jurnal ini juga menyoroti isu-isu etika terkait privasi data, keamanan informasi kesehatan, serta kesenjangan akses teknologi di berbagai lapisan masyarakat. MEJORA Medical Journal Awatara terbit secara berkala tiga kali dalam setahun, yaitu pada bulan Januari, April, Juli dan Oktober.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 68 Documents
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Pengaruh Pijat Oksitoksin, Untuk Melancarkan Asi Pada Ibu Post Partum P0A1 Dengan Partus Spontan Di Ruang Mawar RSUD Waled Sindia Devi, Nadia; Sari Purbaningsih, Endah; Mamay Maftuha, Indah; Khasanah, Uswatun; Rimawati Nurokhman, Neneng
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): April
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Abstract

Newborn babies need to receive optimal care from birth, one of which is ideal food. Breast milk (ASI) is the most recommended food for babies for at least the first 6 months of life. However, in reality, exclusive breastfeeding is not as easy as imagined. Various obstacles can arise in efforts to provide exclusive breastfeeding during the first six months of a baby's life. This research aims to provide the application of oxytocin massage in post-partum maternal care to overcome the problem of ineffective breastfeeding. The research design used in this research is a case study of a post partum mother P0A1 with spontaneous labor in the Mawar room at Waled Hospital, Cirebon Regency. This research was carried out at Waled Hospital, Cirebon Regency, precisely in the Mawar Room on January 5 2024. Breast milk production can be accelerated with non-pharmacological measures, namely through oxytocin massage which can be done by massaging the area around the back (pars thoracic vertebrae) to stimulate the release of breast milk. The mother will feel satisfied, happy, confident, because she can give breast milk to her baby. the problem of ineffective breastfeeding related to inadequate breast milk supply was resolved and a little milk came out and the patient said that after the oxytocin massage the patient felt comfortable and relaxed
Penerapan Kompres Hangat Pada Demam Thypoid Di Ruang Anyelir Rsud Waled Kabupaten Cirebon Mamay maftuha, Indah; Sari Purbaningsih, Endah; Sindia Devi, Nadia; Khasanah, Uswatun; Rimawati Nurokhman, Neneng
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): April
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Abstract

Infectious diseases are one of the main health problems in developed and developing countries, one of them is because Typhoid fever. This study aims to Application of Warm Compresses for Typhoid Fever in the Anyelir Ward at Waled District Hospital, Cirebon Regency. The research method used is descriptive research in the form of a case study. The respondents in this study were child patients with typhoid fever in the Anyelir ward at Waled Hospital, Cirebon Regency. The results of a case study of nursing care applied to an.s with typhoid fever in the form of warm compresses for 15 minutes in one day showed that the family said the fever had begun to decrease, anxiety decreased, red skin decreased, body temperature was 37.30C. From the case studies that have been carried out, it can be concluded that warm compresses have an effect on reducing body temperature in children with typhoid fever with the results of the family saying that the fever has started to decrease, anxiety has decreased, red skin is no longer there, body temperature is 37.30C.
Asuhan Keperawatan Pada An. H Dengan Gastroenteritis Akut (Gea) Di Ruang Anyelir Rsud Waled Kabupaten Cirebon Oktoviani, Dewi; Fadila, Erida; Nurmala Fia, Evi; Ameliya, Kiki; Nova Jalaludin, Rizal
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): April
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Abstract

Acute gastroenteritis (GEA) is one of the most common diseases in children around the world, including Indonesia. The impact of GEA if not treated immediately can cause dehydration. This study aims to apply nursing care to An. H with hypovolemia nursing problems using the nursing process, namely: assessment, nursing diagnosis, intervention, implementation, and evaluation. This type of research is descriptive with a case study form. Data collection was carried out by interview, observation, physical examination, supporting examination, and documentation with focal data of liquid stools ˃5x a day and vomiting ≥3x a day. The interventions applied are hypovolemia management and fluid monitoring with the main nursing actions of fluid rehydration. After taking nursing actions on An. H with acute gastroenteritis in treatment for 3x24 hours shows that the diagnosis/nursing problem of hypovolemia associated with active fluid loss can be resolved. It can be concluded that nursing care by providing rehydration is the first aid to prevent dehydration and restore lost body fluids during diarrhea
Ketidakefektifan Pola Nafas Pada Pasien Tn. M Dengan Chronic Kidney Disease (CKD) Di Ruang Igd Rs Gunung Jati Kota Cirebon Oktoviani, Dewi; Fadila, Erida; Nurmala Fia, Evi; Ameliya, Kiki; Nova Jalaludin, Rizal
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): April
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Abstract

Chronic kidney disease can cause pulmonary edema, making it difficult for patients with CKD to breathe normally. Nonpharmacological measures that can be taken are teaching deep breath relaxation techniques that aim to increase alveoli ventilation and reduce the work of breathing. The purpose of this study was to provide an overview of nursing care for patients Mr. M with chronic kidney disease in the emergency room of Gunung Jati Hospital, Cirebon City. M with chronic kidney disease in the emergency room of Gunung Jati Hospital, Cirebon City. This type of research uses case studies. Data collection techniques were carried out by interview, observation, and study of medical record documentation. Data analysis in this case study was carried out descriptively including assessment, diagnosis, intervention, implementation, and evaluation while the patient was in the emergency room. Management of deep breath relaxation techniques, monitoring respiration and monitoring oxygen saturation carried out during patients in the emergency room can affect the improvement of the patient's tightness condition as evidenced by decreased dyspnea, improved breathing frequency, and improved oxygen saturation. It is hoped that patients can carry out the diets given and families provide support during the treatment process to improve the patient's quality of life
Asuhan Keperawatan Pada Ny.W Dengan Diagnosa Congestive Heart Failure (CHF) Di Ruang Teratai RSUD Waled Kabupaten Cirebon Tri Noviyani, Arina; Efendi, Ramli; Ahmad Fausi, Adhin; Lestari, Inka; Alfi Lail, Nur
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): April
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Abstract

Congestive Heart Failure (CHF) or heart failure is a condition in which the heart cannot pump blood effectively to meet the body's needs. This study aims to provide an overview of the implementation of Nursing Care for patients with a diagnosis of Congestive Heart Failure (CHF) in the lotus room of Waled Hospital, Cirebon Regency. The method used is a case study approach. The subjects in this case study were one patient with a medical diagnosis of Congestive Heart Failure (CHF) in the inpatient room. The results of the study showed that the management of nursing care in patients with medical diagnosis of Congestive Heart Failure (CHF) in meeting basic needs with Congestive Heart Failure (CHF) nursing problems carried out foot oedema intervention for approximately 10-15 minutes. Swelling in the lower extremity of the patient is reduced or slightly deflated. Based on the results of nursing care carried out on ny.w based on the interventions carried out so that it can be concluded that nebulizer removal can help increase oxygen saturation and foot oedem techniques can reduce swelling in the patient's feet
Intervensi Pemberian Terapi Dan Posisi Semi Fowler Pada Anak Dengan Bronkopneumonia Rahmawati, Yulia; Muadi; Azrilliyani, Raeisya; Afriani, Julia; Zakiyah, Vivy
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): April
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Abstract

The basic need for oxygenation is one of the most vital basic needs in human life. This is related to the cellular metabolic process, where this process requires oxygen in the body. The impact that occurs if the lack of oxygen in the body is not immediately resolved can cause a lack of oxygen in the body's cells. Body cells that lack oxygen will have difficulty concentrating because metabolism is disrupted due to a lack of oxygen supply in the blood. This case study aims to explain nursing care for patients with a diagnosis of Bronchopneumonia medicine using oxygenation therapy interventions, nebulizer inhalation therapy, and semi-fowler position or head up 30o. This research uses a qualitative approach with case studies as the main method, using observation sheets, interviews, and documentation studies. The subject of this research was one patient, An. K patient with bronchopneumonia at Sumber Kasih Hospital, Cirebon City. The results of the case study showed clinical success that the nursing problem of ineffective airway clearance and ineffective breathing patterns was resolved by increasing airway clearance, improving breathing patterns, and increasing oxygen saturation.
Asuhan Keperawatan Pada Klien Dengan Stroke Non Hemoragik Di Ruang Stroke Unit Rsd Gunung Jati Kota Cirebon shintia Devi, Putri; Erna Marisa, Dewi; Rouf, Abdul; Amelinda Windiani, Nosa
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): April
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Abstract

Non-hemorrhagic strokes usually occur due to blockage of brain blood vessels caused by thrombosis, embolism and global hypoperfusion which results in decreased blood supply to brain tissue and leads to ischemia. Therefore, it is necessary to handle it using procedures correctly, namely implementing nursing care including: assessment, nursing diagnosis, planning, implementation and evaluation. The aim of this research is to provide appropriate application of nursing care to clients with non-hemorrhagic stroke in the Stroke Unit. This type of research uses a descriptive method with a case study approach in the form of assessment, data analysis, formulating nursing diagnoses, planning, implementation and evaluation in handling found nursing problems. After providing nursing care to the client Mr. B, the results showed that the nursing problem was partially resolved. The client said his blood pressure had started to decrease, he could move his left leg a little.
Penerapan Breastcare Untuk Mengatasi Ketidakefektifan ASI Pada Ibu Post Partum Spontan Amelinda Windyani, Nosa; Erna Marisa, Dewi; Rouf, Abdul; Shintia Devi, Putri
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): April
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Abstract

One of the nursing problems commonly experienced by mothers after post partum is ineffective breastfeeding. Ineffective breastfeeding is a condition where the mother and baby experience dissatisfaction or difficulty in the breastfeeding process. One way to solution this issue is breastcare. This research aims to provide nursing care with a more comprehensive approach covering the entire body system to improve the client's health status. This type of research uses a descriptive method with a case study approach in the form of assessment, data analysis, formulating nursing diagnoses, planning, implementation and evaluation. After 3 days of management of post partum mothers using data collection techniques using interviews, physical examination, observation, and documentation studies, it was found that nursing problems in spontaneous post partum clients, namely acute pain and ineffective breastfeeding, had been resolved. After providing nursing care to the client, complaints of pain decreased and breast milk production increased.
Asuhan Keperawatan Pada Pasien Post Operasi Sectio Caesarea Atas Indikasi Ketuban Pecah Dini (Kpd) Alfi Lail, Nur; Efendi, Ramli; Lestari, Inka; Ahmad Fausi, Adhin; Tri Noviyani, Arina
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): April
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Abstract

The 2018 Lower Health Study (Rikesdas) stated that the total number of SC births in Indonesia was 17.6% of 78,736 births. Post-SC mothers do not start breastfeeding on the first day after giving birth because it makes them feel great pain and makes breastfeeding difficult. Another factor that inhibits the formation of breast milk is also influenced by the consumption of post-operative pain relievers. Objective: This research is to determine the description of nursing care for post-operative caesarean section patients with indications of premature rupture of membranes (KPD) in the Mawar ward at Waled Hospital. Method: This type of research is a descriptive method with a case study design. Results: the results of the evaluation at the end of treatment in the diagnosis of acute pain and risk of infection resolved the problem but in the diagnosis of ineffective breastfeeding the problem was partially resolved. Conclusion: The author carried out a comprehensive assessment that was suitable for the conditions of post-operative cesarean section nursing care. The intervention was carried out 2x24 hours with the cooperation of the nurse. The author has taken action in accordance with the nursing plan that has been made.
Asuhan Kebidanan Komprehensif Pada Ny. S Di Uptd Puskesmas Pasaleman Kabupaten Cirebon Rahayu, Rosalia; Nurhalimah, Putri
MEJORA Medical Journal Awatara Vol 2 No 3 (2024): Juli
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Abstract

Asuhan kebidanan komprehensif merupakan asuhan yang diberikan secara menyeluruh dimulai dari hamil, bersalin, nifas dan bayi baru lahir dimana hal tersebut penting bagi keberlangsungan hidup ibu dan bayi. Studi kasus ini bertujuan untuk memberikan dan menerapkan asuhan kebidanan pada Ny. “S”  G1P0A0 dengan usia kehamilan 37 minggu di Puskesmas Pasaleman pada bulan Maret sampai Mei 2024. Jenis laporan ini menggunakan metode deskriptif dengan pendekatan case study. Metode asuhan yang dilakukan yaitu wawancara, observasi, pendokumentasian dalam bentuk SOAP. Asuhan yang diberikan berupa kunjungan hamil 2 kali, bersalin 1 kali, nifas 4 kali, bayi baru lahir 3 kali. Selama masa kehamilan ibu tidak mengalami keluhan. Persalinan berlangsung normal dan dilakukan dengan bantuan birth ball sehingga persalinan ibu berjalan lancar dan nyeri berkurang. Bayi lahir tanggal 16 April 2024 pukul 11.50 WIB jenis kelamin perempuan, menangis kuat, dengan BB 2700 gram dan PB 51 cm. Pada masa nifas ibu mengeluh batuk pilek, ASI sudah keluar sedikit. Pada asuhan bayi baru lahir tidak ditemukan komplikasi. Rencana kontrasepsi yang digunakan yaitu suntik 3 bulan. Bagi tenaga kesehatan diharapkan dapat menerapkan asuhan secara komprehensif sesuai standar pelayanan kebidanan dan mengikuti perkembangan ilmu pengetahuan.

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