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Tantri Puspita
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Nursing Case Insight Journal
Published by CV. Literasi Publikasi Indonesia
ISSN : 30465915     EISSN : 30465915     DOI : https://doi.org/10.63166
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Journal - Nursing Case Insight Journal (NCIJ) contains scientific articles in the form of research results covering science, technology, and teaching in the field of Nursing. The Nursing Case Insight Journal (NCIJ) is published every four months. Authors worldwide are welcome to submit their research papers to prestigious journals that meet the required criteria. The Nursing Case Insight Journal (NCIJ) provides immediate access to its content on the principle that making research freely available to the public supports the greater global knowledge exchange. ISSN 3046-5915 Nursing Case Insight Journal (NCIJ) indexed by: Google Scholar
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 50 Documents
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Hyperthermia in a Patient with Relapse Malaria: A Case Report Mujahidah, Shafira Aulia; Sari, Eka Afrima; Pebrianti, Sandra
Nursing Case Insight Journal Vol. 3 No. 2 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/mygx4h65

Abstract

Malaria is an infectious disease that caused by Plasmodium infection in red blood cells. The main clinical manifestations that appear in malaria are fever with shivering, shaking, and sweating and weakness. This condition can cause severe hyperthermia, which is at risk of causing brain damage, seizures, or delirium. This study aims to see the characteristics of fever and implementation in patients with malaria relapse. A 41-year-old man with a history of malaria four months ago. During the first malaria, the patient experienced fever to shivering and sweating as well as muscle pain and fatigue every morning. In malaria relapse, complaints of fever and chills every morning were exacerbated by complaints of dizziness as if being hit and weakness. Laboratory examination results found Plasmodium vivax gametocyte and schizont stages. The patient received paracetamol, cefixime, dexamethasone, and DHP Frimal therapy as well as Tepid Water Sponge therapy. After three days of treatment with a combination of pharmacological therapy and tepid water sponge, there was a decrease in temperature from 38.4°C with warm extremities, sweating, headache and shivering to 37.8°C on the second day and 36.7°C on the third day with warm extremities and no shivering, no headache and more fit. The administration of a combination of pharmacological and non-pharmacological tepid water sponge therapy in patients with malaria relapse was able to reduce hyperthermia. Further researchers are expected to be able to examine more widely the effectiveness of actions to reduce hyperthermia in adult patients with malaria.
Application of Pursed-Lip Breathing in a Patient with Right-sided Pneumothorax (Pneumothorax Dextra): a Case Report Nur'aeni, Yuni; Sari, Eka Afrima; Platini, Hesti
Nursing Case Insight Journal Vol. 3 No. 2 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/px7kvw55

Abstract

Pneumothorax is a condition in which air enters the pleural cavity of the lungs, potentially disrupting the respiratory process. A common clinical manifestation is severe shortness of breath during inspiration. Pursed-lip breathing is a non-pharmacological therapy that can relax the respiratory muscles and reduce dyspnea. This study aims to examine the application of pursed-lip breathing in a patient with pneumothorax and its effect on respiratory status. Mr. X, a 70-year-old fisherman, was admitted to the hospital with complaints of severe shortness of breath and difficulty breathing. The patient was medically diagnosed with right-sided pneumothorax due to ruptured bleb, suspected to be caused by chronic active pulmonary tuberculosis. A chest tube thoracostomy (CTT) procedure had been performed. The patient had a 55-year history of smoking 1.5-2 packs of cigarettes per day. This case report employed a nursing care approach. The intervention administered was pursed-lip breathing, conducted over three days with three repetitions per session. The evaluation focused on respiratory rate, oxygen saturation, and the level of dyspnea based on the Modified Borg Scale and the Modified Medical Research Council (mMRC) Dyspnea Scale. Evaluation results showed a decrease in respiratory rate from 25 to 21 breaths per minute and an increase in oxygen saturation from 94% to 97%. Additionally, dyspnea severity decreased from a Borg score of 3 to 2 and from mMRC grade 2 to grade 1 following the intervention. Pursed-lip breathing can improve respiratory status and reduce dyspnea, suggesting its potential as a non-pharmacological therapy for patients with pneumothorax. 
Combined HT7 Acupressure (Shenmen) and Murattal Therapy for Depression and Insomnia in Elderly: A Case Report Aquino, Afnani; Susanti, Raini Diah; Pramukti, Iqbal
Nursing Case Insight Journal Vol. 3 No. 2 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/3ee4h086

Abstract

Older adults are vulnerable to psychological disorders such as depression and insomnia, which are often interrelated and can affect both physical and emotional well-being. This study aimed to evaluate the effect of combining HT7 (Shenmen) acupressure and murattal therapy on reducing depression and insomnia in the elderly. A case report design was used, involving a 68-year-old woman residing in a social care facility who experienced severe depression and insomnia. The intervention consisted of 12 sessions over four weeks (10 minutes per session), in which the client performed self-acupressure at the HT7 point while listening to murattal as a visual-auditory calming stimulus. Depression and insomnia levels were assessed using the GDS-15 and KSPBJ-IRS instruments. Results showed a reduction in GDS-15 score from 12 to 5 (mild depression) and in KSPBJ-IRS score from 30 to 23 (mild insomnia). The client also reported emotional calmness and motivation to continue the therapy independently. This study suggests that the combined intervention is a safe and effective non-pharmacological option. Further research, such as experimental studies, is recommended with more diverse subjects and varied clinical conditions.
Improving Family Independence in Hypertension Management through a Nursing Process Approach: A Case Study on Mrs I's Family in Garut Regency Ridwan Rifai, Mohamad; Permana, Gin Gin Sugih; Daniati, Eva
Nursing Case Insight Journal Vol. 3 No. 2 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/63kf5m76

Abstract

Family independence in managing hypertension is a key factor in achieving optimal quality of life. This study aims to improve the independence of Mrs I's family in Garut Regency through a family-based nursing process approach. The method used is a descriptive case study with data collection techniques including observation, interviews, documentation studies, and physical examinations. The results of the assessment showed that Mrs I's family was included in the Family Independence I (KM I) category, where they were aware of the problem of hypertension but did not understand the proper treatment. Nursing interventions focused on health education, medication management, and psychosocial support with a local cultural approach. Evaluation showed an increase in family independence to KM III, characterised by the family's ability to take preventive and promotive actions independently, such as routine control, low salt diet, and medication adherence. This study concludes that a contextualised family-based nursing approach involving active participation of family members is effective in improving the independence of hypertension management. The implication is that nurses need to master therapeutic communication and culture-based interventions to optimise community nursing practice
Enhancing Postpartum Mothers' Knowledge about Colostrum: Education for Infant Health Rahman, Abd.; Tarizah, Nurul; Podding, I Takko
Nursing Case Insight Journal Vol. 3 No. 2 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/gyafgw24

Abstract

The proper administration of colostrum to newborns is crucial for supporting their immune system and preventing various infectious diseases. However, many postpartum mothers still lack understanding of the importance of colostrum, which affects the practice of colostrum feeding. This study aims to describe the improvement in postpartum mothers' knowledge about the importance of colostrum through educational intervention at a hospital. This descriptive research uses a One Group Pre Test-Post Test approach. The study participants consisted of 31 postpartum mothers admitted. Data collection was done using a questionnaire given before and after providing education through leaflets about colostrum. The results showed a significant increase in knowledge after the education, with all respondents (100%) demonstrating good knowledge about colostrum after the intervention. This improved knowledge is expected to encourage postpartum mothers to provide colostrum to their babies, thereby improving their health and immunity
Analysis Of Gerontic Nursing Care for Mrs. T With Hypertension Through the Application of Isometric Handgrip Exercise Therapy in The Bougenville Room Of The Satpel Griya Lansia Garut Sopia Fauziah, Mala; Puspita, Tantri
Nursing Case Insight Journal Vol. 3 No. 2 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/83nnrg31

Abstract

Hypertension or high blood pressure is a disease of the heart and blood vessels characterized by increased blood pressure. Factors that influence the incidence of hypertension include genetic, racial, regional, socio-cultural and unhealthy lifestyle. This study aims to determine the analysis of nursing care with hypertension through the application of isometric handgrip exercise therapy in the Griya Lansia Garut service unit. The research method used in this study is descriptive qualitative in the form of a case study by conducting nursing care for the elderly which includes assessment, nursing diagnosis, intervention, implementation, and evaluation of nursing carried out on March 3-9, 2025. Based on the results of the assessment, diagnosis, intervention, implementation and evaluation carried out by the researcher, 4 nursing problems were found, namely impaired physical mobility, anxiety, knowledge deficit and risk of falling. Researchers planned mobilization support by implementing Isometric Handgrip Exercise therapy based on Evidence-Based Practice, which aims to lower blood pressure and increase muscle strength. Nursing care was provided for 5 days, including assessment, diagnosis, intervention, implementation, and evaluation. Results showed a decrease in blood pressure from 170/97 mmHg to 154/80 mmHg and an improvement in muscle strength from scale 4 to 5 after the intervention. The study concluded that isometric handgrip exercise therapy is effective in lowering blood pressure and increasing muscle strength in hypertensive elderly patients. Further quantitative research is recommended to examine the long-term effects of this intervention
Analysis of Gerontic Nursing Care on a Patient with Impaired Physical Mobility Using Elastic Band Nur Alfaeni, Nazmah; Puspita, Tantri
Nursing Case Insight Journal Vol. 3 No. 2 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/4vw1jy41

Abstract

Hypertension or high blood pressure is a disease of the heart and blood vessels characterized by increased blood pressure. Factors that influence the incidence of hypertension include genetic, racial, regional, socio-cultural and unhealthy lifestyle. This study aims to determine the analysis of nursing care with hypertension through the application of isometric handgrip exercise therapy in the Griya Lansia Garut service unit. The research method used in this study is descriptive qualitative in the form of a case study by conducting nursing care for the elderly which includes assessment, nursing diagnosis, intervention, implementation, and evaluation of nursing carried out on March 3-9, 2025. Based on the results of the assessment, diagnosis, intervention, implementation and evaluation carried out by the researcher, 4 nursing problems were found, namely impaired physical mobility, anxiety, knowledge deficit and risk of falling. Researchers planned mobilization support by implementing Isometric Handgrip Exercise therapy based on Evidence-Based Practice, which aims to lower blood pressure and increase muscle strength. After 5 days of implementation, blood pressure decreased from 170/97 mmHg to 154/80 mmHg, and muscle strength decreased from 4 to 5. Conclusion: Isometric handgrip exercise therapy has been shown to gradually lower blood pressure and increase hand muscle strength. Recommendation: Quantitative research is recommended to examine the long-term effects of Isometric Handgrip Exercise therapy on blood pressure, muscle strength, and quality of life in the elderly.
Management of Visual Hallucinations in Schizophrenia Patients in Mental Rehabilitation Settings Auditory: A Nursing Case Study Sugih Permana, Gin Gin; Ridwan Rifai, Mohamad; Riansyah, Alvi
Nursing Case Insight Journal Vol. 3 No. 3 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/z1hrsb04

Abstract

Schizophrenia is a chronic mental disorder that affects the way a person thinks, feels, and behaves. One of the most common positive symptoms is hallucinations, including visual hallucinations, which can significantly interfere with a patient's daily functioning. Proper management of visual hallucinations is essential to improving the patient's quality of life. This case study aims to examine the implementation of nursing care for patients with visual hallucinations due to schizophrenia and to evaluate the effectiveness of the interventions provided in reducing hallucination symptoms. This study uses a case study design with a qualitative approach. The research subject is a 28-year-old male patient who experiences visual hallucinations due to schizophrenia. Data collection was conducted through interviews, observations, and nursing documentation during the treatment period at the Garut mental rehabilitation clinic. The results of the assessment showed that the patient experienced visual hallucinations in the form of black shadows that followed his movements. The main nursing diagnosis that emerged was sensory perception disorder: visual hallucinations. The interventions provided included reality therapy, group activity therapy, health education, and pharmacotherapy. After 14 days of treatment, there was a decrease in the frequency of hallucinations from 8-10 times/day to 2-3 times/day. Comprehensive nursing care with a holistic approach proved to be effective in managing
The Relationship Between Knowledge About Smoking Hazards and Self-Efficacy for Smoking Cessation Among Vocational High School Students Zidan, Muhammad; Puspita, Tantri; Sugih Permana, Gin Gin
Nursing Case Insight Journal Vol. 3 No. 3 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/s53x4k31

Abstract

This study aimed to analyze the relationship between knowledge about the dangers of smoking and self-efficacy for smoking cessation among adolescents. A descriptive correlational design with a cross-sectional approach was used, involving 203 smoking students at SMKN 4 Garut, Indonesia. Validated and reliable questionnaires were used to measure knowledge and self-efficacy. Results showed that most respondents had good knowledge (61.1%) and high self-efficacy (66%). Spearman’s Rank correlation test revealed a strong positive relationship between knowledge and self-efficacy (r = 0.737, p = 0.001). The study concludes that higher knowledge about smoking hazards is associated with higher self-efficacy for quitting smoking among vocational high school students.
Effectiveness of Foot Reflexology Massage Therapy in Reducing Blood Pressure and Improving Comfort in Elderly Patients with Hypertension: A Case Study at Griya Lansia Garut Social Service Unit Selvia; Puspita, Tantri
Nursing Case Insight Journal Vol. 3 No. 3 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/na9n4d03

Abstract

Hypertension is a major health problem among the elderly, often requiring integrated management approaches. Foot reflexology massage therapy is a non-pharmacological intervention that may reduce blood pressure and improve comfort in hypertensive elderly patients. To analyze the effectiveness of foot reflexology massage therapy in reducing blood pressure and improving comfort in an elderly patient with hypertension at the Griya Lansia Garut Social Service Unit. A descriptive case study method was used with one elderly respondent. Nursing care was implemented over three days, with foot reflexology massage as the main intervention. Pre- and post-therapy blood pressure measurements and comfort assessments were conducted. Four nursing diagnoses were identified: discomfort, sleep pattern disturbance, knowledge deficit, and risk of falls. After three days of intervention, systolic blood pressure decreased from 170/100 mmHg to 130/90 mmHg, and diastolic pressure improved. The patient reported reduced discomfort, improved sleep, and increased understanding of hypertension management. Foot reflexology massage therapy is an effective non-pharmacological intervention to reduce blood pressure and enhance comfort in elderly hypertensive patients. It should be considered as part of holistic geriatric nursing care.

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