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Maria S. Sekunda
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Kelimutu Nursing Journal
Published by Poltekkes Kemenkes Kupang
ISSN : -     EISSN : 29640245     DOI : https://doi.org/10.31965/knj
Core Subject : Health,
Nursing
Kelimutu Nursing Journal (KNJ) dikelola oleh Program Studi DIII Keperawatan Ende dan diterbitkan oleh Politekkes Kemenkes Kupang sebagai media LITBANG yang memuat kajian pustaka atau karya tulis ilmiah hasil penelitian dan pengabmas di bidang keperawatan dan penanggulangan bencana. KNJ diterbit 2 (dua) kali dalam setahun pada bulan Juni dan Desember.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 43 Documents
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PENGARUH SUPLEMENTASI PROPOLIS TEKNOLOGI NANO BAGI PENDERITA TUBERKULOSIS DI RSUD ENDE : rifatunnisa; Bedho, Martina; Woga, Raimunda
Kelimutu Nursing Journal Vol 3 No 1 (2024): Volume 3 Nomor 1 Juni 2024
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v3i1.1588

Abstract

TB recovery is influenced by a good immune system and drugs and supplements that increase their killing power against Mycobacterium Tuberculosis. One ingredient that can be used as a supplement is propolis. The aim of the research is to prove the effectiveness of propolis with nanoparticle technology as a supplement in curing adult TB. Methodology: This research is an expressive research with a pretest posttest design. The research sample was 7 people with BTA (+) criteria as. The treatment for this research was the administration of TPR propolis (Turkish Propolis Ruqyah) with nano technology at a supplement dose of 1 drop per 10 KgBW. The symptoms felt are observed from the beginning of treatment until after giving therapy at the next control. Sig Value Results. Less than 0.05 is indicated by symptoms of cough accompanied by chest pain (0.031), anorexia (0.031), and decreased weight (0.016). These three symptoms show that there is a significant difference or influence on the symptoms of cough accompanied by chest pain, anorexia, and decreased weight before therapy and after therapy. Meanwhile, the symptoms of fever, malaise and cough with phlegm did not have a significant effect. The results of this study show that TB patients who received OAT therapy accompanied by the provision of nano-technology Propolis supplements were able to reduce the symptoms experienced by patients, namely reducing the symptoms of cough accompanied by chest pain, anorexia, and weight loss did not decrease.
ASUHAN KEPERAWATAN PADA KELUARGA DENGAN ARTHRITIS REUMATOID (AR) DIKABUPATEN ENDE: Sekunda, Maria Salestina; Cahyani, Sisilia Leny; Bai, Marieta
Kelimutu Nursing Journal Vol 3 No 1 (2024): Volume 3 Nomor 1 Juni 2024
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v3i1.1590

Abstract

Rheumatoid arthritis is the most common autoimmune disease in the community. It can lead to long-term joint damage, prolonged pain, loss of function and disability (Singh, et al., 2012). This case study aims to enable the author to carry out Nursing Care in the family of Mr. K. S with one of the family members suffering from Rheumatoid Arthritis using the nursing process approach. This case study aims to enable the author to carry out Nursing Care in the family of Mr. K. S with one of the family members suffering from Rheumatoid Arthritis using the nursing process approach. This case study uses a case study method through nursing care steps starting from assessment, nursing diagnosis, intervention, implementation, evaluation to nursing documentation activities. The results of the assessment on the family on behalf of Mrs. K. S complained of pain in the left knee, weak body, swelling in the left knee. The nursing problems raised in these cases are disorders of comfort, pain, and physical mobility inhibitions. The evaluation found that the problem of pain discomfort disorder was partially resolved because the client had shown signs of controlled pain such as a relaxed face, Pain scale 1 (0-10) vital signs within normal limits: and for physical mobility impediments are partially resolved because the client says he can walk on his own even though he still feels a little pain. The problems caused by Rheumatoid Arthritis are very complex and can cause various problems in the human life system, so clients are encouraged to carry out treatment as early as possible, follow the rules of taking medication and implement healthy living behaviors.
PENGGUNAAN SLOW DEEP BREATHING DALAM PENGONTROLAN TEKANAN DARAH PADA PENDERITA HIPERTENSI: STUDI LITERATURE REVIEW Susanto, Tantut; Permatasari, Andina Yulia Dwi; Rasni, Hanny; Fauziah, Wahyuni
Kelimutu Nursing Journal Vol 3 No 2 (2024): Volume 3 Nomor 2 Juni 2024
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v3i2.1640

Abstract

Introduction: Uncontrolled blood pressure could affect health problems such as hypertension. Factors that cause hypertension are family medical history, sedentary lifestyle based on food consumption contains high fat, and also smoking behavior. Hypertension could be treated by alternative therapy such as slow deep breathing. Family roles as a support system are needed to guide the family member with hypertension to practice and implement slow deep breathing. Objective: This study aims to identify slow deep breathing intervention in controlling blood pressure based on research articles and family involvement in guiding slow deep breathing intervention to family members with hypertension. Method: The design of this study is using a literature review of articles using the search engine database of Proquest, Google Scholar, SpringerLink, ScienceDirect, PubMed, and PRISMA flowchart. Results: The results are showed from this study are that five articles met both the criteria of inclusion and exclusion. After being given by slow deep breathing intervention, hypertension patients are shown that the frequencies of oxygen that transmitted into organs through the blood vessels in releasing the baroreflex responds, which provides a relaxing effect and decreases the level of blood viscosity inside the blood vessels. Conclusion: This study could conclude that using slow deep breathing therapy could positively impact patients with hypertension and use family approach as primary support to improve health.
LATIHAN KESEIMBANGAN DALAM PENCEGAHAN JATUH PADA LANJUT USIA: STUDI LITERATURE REVIEW Qadriyah, Elok Lailatul; Susanto, Tantut; Kurdi, Fahruddin; Fauziah, Wahyuni
Kelimutu Nursing Journal Vol 3 No 2 (2024): Volume 3 Nomor 2 Juni 2024
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v3i2.1641

Abstract

Introduction: The incidence of falls in the elderly is relatively high, which causes the elderly to suffer injuries and even death. The fulfillment of balance needs in the elderly is needed to reduce the risk of falling, improve balance function, improve the motor system, and improve body balance control. In this study, researchers looked for the use of balance exercises in preventing the risk of falls in the elderly in the community. Objective: The purpose of this literature review is to explain the use of balance exercises in avoiding the risk of falls in the elderly in the community. Methods: The research design used is a literature review narrative. Search articles through 4 databases (Pubmed, Science Direct, SpringerLink, and Google Scholar) and keywords balance training, risk of falls, and elderly. Articles are searched through 4 stages based on the PRISMA flowchart. Results: showed that there were six articles analyzed in this study. The implementation of balance exercises in the elderly by paying attention to the health status of the elderly, the ability and level of balance of the elderly, and the intensity of the duration of regular exercise can have a significant influence in improving balance and preventing the risk of falling in the elderly. Conclusion: Various kinds of balance exercises, both those that only involve physical activity and combining with the body's system, simultaneously give the same results regarding the effect of providing balance exercises that can prevent the risk of falling in the elderly with regular and intensive training in the area of ​​the elderly community.
GAMBARAN ASUHAN KEPERAWATAN DALAM PEMENUHAN KEBUTUHAN RASA NYAMAN PADA PASIEN HIPERTENSI DENGAN NYERI AKUT DI RSUD ENDE Paschalia, Yustina; Juwana , Emerensiana
Kelimutu Nursing Journal Vol 3 No 2 (2024): Volume 3 Nomor 2 Juni 2024
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v3i2.1790

Abstract

Hypertension is a condition where blood pressure increases beyond normal limits. A person is said to be hypertensive if they have systolic blood pressure > 140 mmHg and diastolic blood pressure > 90 mmHg, on repeated examinations. According to the World Health Organization (2022), the prevalence of hypertension in the world is 22% of the total world population, where there are 1.13 billion people in the world who suffer from hypertension. The incidence of hypertension is mostly in developing countries with low and middle incomes, including Indonesia (Doso, et al., 2019 in Jabani, Asriah Septiawati. et al. 2021). This study aims to describe the application of nursing care in fulfilling the comfort needs of patients with a medical diagnosis of hypertension. The method used in this research is a descriptive case study design with a nursing care approach which includes assessment, nursing diagnosis, nursing intervention, implementation and nursing evaluation. The subject of this research was a patient with a medical diagnosis of hypertension who was treated at RPD III Ende Regional Hospital. The results of the case study found that nursing problems related to the risk of ineffective cerebral perfusion were related to hypertension, acute pain was related to physiological injurious agents, activity intolerance was related to weakness, and disturbed sleep patterns were related to environmental obstacles. Nursing interventions and implementation in this research were designed and implemented in the form of dependent actions such as observation, education and interdependent actions such as collaborative actions. After implementing it for 3 days, all of these nursing problems could be resolved. It was concluded that it is important to apply nursing care to hypertensive patients holistically and professionally. It is recommended that patients and families continue to follow the recommendations given by health workers, so that the healing process can take place more quickly and prevent complications.
PEMBERDAYAAN KADER DALAM PENANGANAN HENTI JANTUNG DI DESA GHEO GHOMA KECAMATAN ENDE UTARA KABUPATEN ENDE Sekunda, Maria Salestina; Rifatunnisa; owa, khrispina
Kelimutu Nursing Journal Vol 3 No 2 (2024): Volume 3 Nomor 2 Juni 2024
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v3i2.1820

Abstract

The role of cadres is very important in efforts to anticipate and handle hypertension complications such as cardiac arrest. One of the roles of cadres when the elderly experience cardiac arrest is that cadres are able to prevent and treat cardiac arrest by providing basic life support and are able to give advice to the elderly to avoid things that can be at risk of causing sudden death. The Community Service activity was held on May 1-2, 2024 in the Gheoghoma Village office hall and was attended by 11 village cadres and the Head of Gheo Ghoma Village. The method used is education and skills to do basic life support. At the beginning of the activity, a test of cadre knowledge about basic life support was carried out and then simulations and demonstrations were carried out and then closed with a post test. From the results of the activity, data was obtained that most of the cadres had understood and were able to provide basic life support, as evidenced by the results of the answers to the questions given where the respondents had less knowledge than 75% and in the post stage after being given material and demonstrations on the treatment of cardiac arrest, the results of the increase in respondents' knowledge about basic life support were obtained, which was as much as 83%. In addition, in training activities, cadres are able to carry out basic life support using BHD phamptom aids and obtain a score from 0% to 75%. Therefore, it is highly expected that the village management will continue to cooperate with the government, especially the cadres in improving knowledge and other skills in preventing sudden death in the community by conducting continuous training so as to increase knowledge and skills that will have an impact on the prevention and handling of sudden death due to cardiac arrest
PENGENALAN MASALAH KESEHATAN DAN PENGGUNAAN FASILITAS KESEHATAN BERPENGARUH TERHADAP KEJADIAN ISPA DI WILAYAH KERJA PUSKESMAS MONI Bedho, Marthina; Owa, Khispina; Paschalia, Yustina; Sekunda, Maria S.
Kelimutu Nursing Journal Vol 3 No 2 (2024): Volume 3 Nomor 2 Juni 2024
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v3i2.1821

Abstract

ISPA tertinggi kedua pada balita (62,90%) dari semua kasus di Puskesmas Moni berdasarkan 10 Patron penyakit di Kabupaten Ende. ISPA memproduksi secret yang dapat menghambat oxygenasi tubuh, sehingga menurunkan metabolisme sel, dan akan menyumbang angka kesakitan dan kematian pada balita, menyebabkan terhambatnya tumbuh kembang anak,. Keluarga merupakan garda terdepan dalam mengasuh anak balita untuk mencegah penyakit infeksi seperti ISPA. Tujuan penelitian untuk mengetahui pengaruh mengenal masalah kesehatan dan penggunaan fasilitas kesehatan terhadap kejadian ispa pada balita. Disain penelitian adalah Mix metode dengan pendekatan cross sectional. Besar sampel dihitung berdasarkan rumus Slovin sebanyak 164 responden. Pengambilan sampel menggunakan purposive dan accidental sampling. Data dikumpulkan dengan wawancara, observasi. Menggunakan instrument baku. Analisis Bivariat Chi-Square untuk menguji pengaruh mengenal masalah kesehatan dan penggunaan fasilitas kesehatan terhadap kejadian ispa pada balita. Uji Regresi logistic untuk menganalisis kekuatan pengaruh mengenal masalah kesehatan dan penggunaan fasilitas kesehatan terhadap kejadian ispa pada pada tingkat kepercayaan 95% dan batas kemaknaan P≤0,05. Ada pengaruh keluarga mengenal sakit Ispa terhadap kejadian Ispa pada balita p - value = 0,000 ( p>0,05). keluarga mengenal masalah kesehatan OR=7,280 (95% CI: 3,205 -16,538; P=0,000), ada pengaruh keluarga mengenal sakit Ispa terhadap kejadian Ispa balita p - value = 0,000. Ada pengaruh keluarga menggunakan fasilitas kesehatan terhadap kejadian Ispa balita p - value = 0,000 ( p>0,05). ( p>0,05),penggunaan fasilitas kesehatan OR= 13,328 (95%CI:5.598 – 31.735 p – value = 0.000. Variabel paling dominan berpengaruh meningkatkan resiko ispa adalah penggunaan fasilitas kesehatan. Edukasi berkala tentang tugas keluarga dalam bidang kesehatan untuk menekan kejadian Ispa balita.
MANAJEMEN LAYANAN PRIMER PENGENDALIAN PENYAKIT TIDAK MENULAR: LITERATURE REVIEW Budiana, Irwan; Paschalia, Yustina; Doondori, Anatolia K.
Kelimutu Nursing Journal Vol 3 No 2 (2024): Volume 3 Nomor 2 Juni 2024
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v3i2.1857

Abstract

Introduction: Unhealthy lifestyle changes increase the threat of increasing cases of death due to non-communicable diseases. Implementing effective primary care management can encourage the realization of a community movement to adopt a healthier lifestyle. This research aims to examine the implementation of primary care management, especially efforts to prevent and control NCDs. Method: Data collection is in the form of searching for articles via the Google Scholar electronic database published in 2014-2024 and using a foreign language (English) or Indonesian as an introduction. The literature search focused on primary care management, especially those related to the elements and functions of non-communicable disease control management. Results: Implementation of good primary service management requires support from various parties, especially leadership roles such as the use of a leadership style that suits the organizational climate. Commitment from the leadership or manager of the service center also influences the quality of primary services. This has an impact on the quality of services, including non-communicable disease control services. Conclusion: Management in the primary health care area plays a very important role in optimizing the utilization of all health resources in the context of controlling non-communicable diseases at all levels of society.
Pengaruh Aromaterapi Lavender terhadap Pengurangan Tingkat Kecemasan pada Pasien Pra-Operasi Fraktur di Ruang Rawat Inap RSUD Wonosari: ARYANTI, RIANA
Kelimutu Nursing Journal Vol 4 No 1 (2025): Volume 4 Nomor 1 Juni 2025
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v4i1.1931

Abstract

Anxiety management in fracture patients is generally done with pharmacological therapy, but there is a risk of side effects such as drowsiness and dependence. Lavender aromatherapy, which contains linalool and linalyl acetate, has been shown to be effective in lowering anxiety through its relaxing effects on the central nervous system. A preliminary study at Wonosari Hospital showed that most fracture patients experienced moderate to high anxiety, with intervention still limited to sedatives. This study aims to evaluate the effect of lavender aromatherapy using a diffuser for three days on the reduction of anxiety levels in fracture patients in the inpatient room. This study uses the Case study research with the design of One Group Time Series Design in fracture patients at Wonosari Hospital. The sample was taken by purposive sampling of 2 respondents with the APAIS instrument to measure the level of anxiety before and after the intervention. The intervention was carried out three times a day using a diffuser with a dose of 5 drops (0.25 ml in 100 ml of water) for 15 minutes. The results of the study showed that lavender aromatherapy was effective in significantly reducing anxiety in fracture patients. The anxiety scores in pre-test and post-test 1 were in the severe anxiety category, while a significant decrease occurred in post-test 2 and was more optimal in post-test 3 with the anxiety category decreasing to moderate. The progressive reduction in anxiety shows that the lavender aromatherapy intervention is effective in working gradually in providing a sense of calm to the patient.
Hubungan Intensitas Penggunaan Media Sosial dengan Tingkat Kesehatan Mental pada Remaja Kurniawan, Rahmat; Fitriani, Dhia Diana; Sirait, Pretty Lorenza; Nurmiaty, Nurmiaty; Faisal, T. Iskandar; Khaira, Nuswatul
Kelimutu Nursing Journal Vol 4 No 1 (2025): Volume 4 Nomor 1 Juni 2025
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v4i1.2006

Abstract

Pendahuluan: Kesehatan mental dapat terganggu akibat penggunaan media sosial terlalu lama dan hal tersebut sering melanda anak- anak dan remaja. Tujuan Penelitian: Untuk mengidentifikasi Hubungan antara intensitas penggunaan media sosial dengan tingkat kesehatan mental pada remaja di SMP N 22 Tangerang Selatan. Metode penelitian: Penelitian Kuantitatif dengan pendekatan cross sectional dengan tujuan untuk mengetahui hubungan antara variabel bebas (penggunaan media sosial) dengan variabel terikat (kesehatan mental remaja). Jumlah sampel dalam penelitian ini berjumlah 218 orang dan pengambilan sampel pada penelitian ini menggunakan Teknik Proposionate Stratified random sampling. Hasil penelitian: Diperoleh nilai (p value 0.021 kurang dari 0.05) maka dikatakan ada hubungan antara penggunaan media sosial terhadap depresi. Hasil uji chi square kecemasan diperoleh nilai (p value 0.035 kurang dari 0.05) maka ada hubungan antara penggunaan media sosial terhadap kecemasan pada remaja. Hasil uji chi square stress diperoleh nilai (p value 0.000 kurang dari 0.05) maka ada hubungan antara penggunaan media sosial terhadap tingkat stress pada remaja. Kesimpulan: Ada hubungan antara intensitas penggunaan media sosial dengan tingkat kesehatan mental remaja di SMP N 22 Tangerang Selatan.

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