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INDONESIA
Jurnal Spektrum Kesehatan Indonesia
Published by EL-EMIR INSTITUTE
ISSN : 30896177     EISSN : 30895820     DOI : https://doi.org/10.63477/juski
Core Subject : Health, Engineering,
Health Professions Mechanical Engineering Medicine & Pharmacology Nursing Public Health
Kesehatan Masyarakat Kesehatan Lingkungan Kesehatan Reproduksi dan Anak Kesehatan Mental Gizi dan Diet Farmasi dan Terapi Medis Kebijakan dan Sistem Kesehatan Teknologi Kesehatan Ilmu Keperawatan Ilmu Kebidanan Ilmu Gizi
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 27 Documents
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ASUHAN KEPERAWATAN PADA TN. S DENGAN PENERAPAN FOOT ELEVATION TERHADAP PENURUNAN DERAJAT EDEMA PADA PASIEN CONGESTIVE HEART FAILURE DI RSUD ARIFIN ACHMAD PEKANBARU Zanisa, Intan; Yenny Safitri; Rian; Dewi Sulastri Juwita
Jurnal Spektrum Kesehatan Indonesia Vol. 1 No. 3 (2025): Volume 1 Nomor 3, November 2025
Publisher : El-Emir Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63477/(juski).v1i3.398

Abstract

Congestive Heart Failure (CHF) is a major risk factor for leg edema. Edema can occur because blood accumulates in the feet, ankles and soles of the feet. The aim of this research is to determine the effect of 30° foot elevation on reducing the degree of lower extremity edema in Mr. S, who was medically diagnosed with Congestive Heart Failure (CHF), in the Krisan Room of Arifin Achmad Hospital, Pekanbaru, in 2025. This research is a quasi-experimental study conducted from May 15–17, 2025, with a sample of 1 respondent at Arifin Achmad Hospital, Pekanbaru. The results showed that the administration of 30° foot elevation had an effect in nursing care for Mr. S to reduce lower extremity edema, namely reducing from edema grade 3 to edema grade 2. Recommendation: It is expected that clients and families will always pay attention to their health condition and perform independent care by using 30° foot elevation if edema occurs.
ASUHAN KEPERAWATAN KELUARGA PADA NY,S DENGAN HIPERTENSI MELALUI PENERAPAN TERAPI PIJAT KAKIDI DESA KUALU NENAS Rahmadani, Mahdalena; Ridha Hidayat; Indrawati
Jurnal Spektrum Kesehatan Indonesia Vol. 1 No. 3 (2025): Volume 1 Nomor 3, November 2025
Publisher : El-Emir Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63477/(juski).v1i3.399

Abstract

The increasing prevalence of elderly people has led to various changes that impact health problems, such as decreased heart function, one of which is hypertension. Hypertension is a circulatory system disorder that can cause blood pressure to rise above normal values, namely systolic pressure above 140 mmHg and diastolic pressure above 90 mmHg. Non-pharmacological therapy that can be provided to hypertension sufferers includes effluarge foot massage therapy combined with garlic oil. Based on observations of real-world conditions, it was found that hypertensive patients experienced acute pain. Treatment for acute pain includes effluarge foot massage therapy using garlic oil. The results of this study revealed that Mrs. S's pain assessment revealed P (high blood pressure), Q (stabbing and pressing), R (back of the head, neck, and nape), a pain scale of 4, T (recurring and intermittent), and BP of 170/100 mmHg. The nursing diagnosis for Mrs. S was acute pain related to increased blood pressure. The nursing intervention provided to Mrs. S was effluarge foot massage therapy using garlic oil to reduce pain in hypertensive patients. The nursing implementation was in accordance with the established interventions until the acute pain problem was resolved, and there were no significant differences compared to previous research. Nurses are expected to apply effluarge foot massage therapy using garlic oil to hypertensive patients to address acute pain.
ASUHAN KEPERAWATAN PADA NY.S DENGAN DIABETES MELITUS TIPE 2 DIRUANG PEJUANG RSUD BANGKINANG Intan, Intan Laxmawati; Ridha Hidayat
Jurnal Spektrum Kesehatan Indonesia Vol. 1 No. 3 (2025): Volume 1 Nomor 3, November 2025
Publisher : El-Emir Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63477/(juski).v1i3.400

Abstract

Cataract is a condition of cloudiness in the lens of the eye that causes decreased visual acuity. One common cause of cataracts is a long-term complication of Type 2 Diabetes Mellitus (DM). Type 2 DM is a chronic metabolic disease characterized by increased blood glucose levels due to impaired insulin secretion or insulin resistance. This case study research aims to provide nursing care for Mrs. S with Type 2 DM complicated by cataracts in the Pejuang Room of Bangkinang Hospital in 2025. The design of this study is a case study that includes assessment, nursing diagnosis, intervention, implementation, and evaluation. Data collection was carried out through interviews, observations, and physical examinations. The results of the assessment showed that Mrs. S had unstable blood glucose, impaired sensory perception (vision), and risk of injury. Interventions were carried out to help manage blood sugar levels, educate self-management, and prevent injury due to visual impairment. After three days of nursing care, the evaluation results showed that blood sugar levels were more stable, the client began to understand how to manage diabetes, and no injuries occurred during treatment. The results of this study are expected to provide information and understanding to DM patients about the importance of comprehensive disease management to prevent complications such as cataracts
ASUHAN KEPERAWATAN PADA NY. S DENGAN TB PARU DI RUANG ISOLASI RSUD BANGKINANG IQROMIL HADI; Yenny Safitri
Jurnal Spektrum Kesehatan Indonesia Vol. 1 No. 3 (2025): Volume 1 Nomor 3, November 2025
Publisher : El-Emir Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63477/(juski).v1i3.401

Abstract

Pulmonary tuberculosis (TB) is one of the infectious diseases that remains a major challenge in public health, caused by Mycobacterium tuberculosis and spreads through sputum droplets when the patient coughs or sneezes. Based on data from RSUD Bangkinang in 2024, the number of pulmonary TB cases remains high, particularly in the isolation ward. This study aims to describe the nursing care process provided to Mrs. S, a patient with pulmonary TB treated in the isolation room of RSUD Bangkinang. The method used is a case study approach covering assessment, nursing diagnosis, planning, implementation, and evaluation. The assessment revealed complaints such as productive cough, chest pain during coughing, and sleep disturbances due to nighttime coughing. The nursing diagnoses included ineffective airway clearance, acute pain, and disturbed sleep pattern. Interventions based on the Indonesian Nursing Intervention Standards (SIKI) were implemented, including airway management, pain management, and sleep support. Implementation was carried out over three days with periodic evaluation. The results showed improvement in the patient's condition, including reduced coughing, decreased chest pain, and better sleep quality. Based on the findings, it is expected that the patient and her family can continue independent care at home and maintain health status. Family support plays a vital role in the patient's recovery process from pulmonary TB.
ASUHAN KEPERAWATAN PADA NY.F DENGAN GASTRITIS DI RUANG PEJUANG RSUD BANGKINANG Lisna, Lisna Ariani; Yenny Safitri
Jurnal Spektrum Kesehatan Indonesia Vol. 1 No. 3 (2025): Volume 1 Nomor 3, November 2025
Publisher : El-Emir Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63477/(juski).v1i3.402

Abstract

Gastritis adalah peradangan pada mukosa lambung yang disebabkan oleh faktor iritasi dan infeksi. Penyebab gastritis diawali dengan pola makam yang tidak teratur, makan makanan yang dapat memicu produksi asam lambung. Penelitian studi kasus ini bertujuan untuk melakukan asuhan keperawatan pada Ny. F dengan gastritis di ruangan pejuang RSUD Bangkinang tahun 2025. Desain penelitian ini adalah studi kasus yang meliputi pengkajian, diagnosa keperawatan, intervensi, implementasi dan evaluasi. Pengumpulan data dilakukan dengan sistem wawancara, observasi dan pemeriksaan fisik. Hasil penelitian menunjukkan bahwa Ny. F mengalami nyeri akut, defisit nutrisi dan intoleransi aktivitas. Dalam intervensi yang dilakukan identifikasi lokasi, frekuensi dan intensitas nyeri, identifikasi skala nyeri, ajarkan cara relaksasi nafas dalam untuk mengurangi rasa nyeri, anjurkan klien makan dengan porsi sedikit tapi sering, dan anjurkan klien tirah baring. Pelaksanaan tindakan keperawatan disesuaikan dengan intervensi dan kondisi klien. Pada tahap evaluasi dapat disimpulkan bahwa nyeri sudah berkurang, nafsu makan meningkat dan sudah menghabiskan lebih dari ½ porsi, dan mengatakan badannya sudah lebih segar dan masalah pada Ny. F pada hari ketiga teratasi. Hasil penelitian ini diharapkan memberikan penjelasan bagi penderita gastritis tentang hal yang menyebabkan terjadinya gastritis sehingga penyakit gastritis tidak terulang lagi.
PEMBERIAN TERAPI INHALASI LAVENDER UNTUK MENURUNKAN INTENSITAS NYERI NY.E PASCA OPERASI Ca MAMMAE DI RUANG DAHLIA RSUD ARIFIN ACHMAD TAHUN 2025 Yudia, Yudia Sari; Yenny Safitri; Riani
Jurnal Spektrum Kesehatan Indonesia Vol. 1 No. 3 (2025): Volume 1 Nomor 3, November 2025
Publisher : El-Emir Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63477/(juski).v1i3.403

Abstract

Pasien yang berada pada periode post operasi akan merasakan nyeri ataupun tidak nyaman,nyeri post operasi terjadi karena adanya proses inflamasi yang dapat merangsang reseptor nyeri sehingga dapat melepaskan zat kimia berupa histamin,bradikimin,prostaglandin yang dapat menimbulkan nyeri post operasi.Tujuan karya ilmiah ini untuk Pemberian Terapi Inhalasi Lavender Untuk Menurunkan Intensitas Nyeri Ny. E Pasca Operasi CA Mammae Di ruang Dahlia RSUD Arifin Achmad Tahun 2025. Pada saat pengkajian mengeluhkan nyeri pada bagian payudara kiri dan kanan terasa seperti ditususk-tusuk, nyeri terasa hilang timbul ,saat ini pasien mengatakan badan terasa lemas. Hasil pemeriksaan TTV didapatkan 104/67 mmHg, Nadi: 58x/menit, RR: 20x/menit, Suhu: 36,5ºC. TB: 156 cm. BB: 50 kg. Setelah operasi pasien mengatkan nyeri yaitu P : nyeri disebabkan karena adanya luka pada payudara kiri dan kanan, Q: nyeri seperti tertusuk - tusuk, R: Pasien mengatakan nyeri pada payudara post operasi, S: skala nyeri 8 sebelum dilakukan tindakan, T: nyeri hilang timbul. Implementasi yang di lakukan peneliti pada masalah Ny.E adalah Pemberian Terapi Inhalasi Lavender. Dari analisa kasus pada pasien didapatkan adanya penurunan skala nyeri, setelah dilakukan intervensi keperawatan selama 3 hari didapatkan penurunan skala nyeri dari skala nyeri 8 ( skala nyeri berat) ke skala nyeri 3 ( skala nyeri ringan). Di harapkan bagi Ny.E untuk menerapkan Terapi Inhalasi Lavender jika terjadi nyeri.
ASUHAN KEPERAWATAN PADA NY.K DENGAN POST OPERASI FRAKTUR CALCANEUS DENGAN PEMBERIAN TERAPI MUSIK KLASIK TERHADAP PENURUNAN INTENSITAS NYERI DI RUANG GARDENIA RSUD ARIFIN ACHMAD Fadila, Fadila mawadah
Jurnal Spektrum Kesehatan Indonesia Vol. 1 No. 3 (2025): Volume 1 Nomor 3, November 2025
Publisher : El-Emir Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63477/(juski).v1i3.404

Abstract

The musculoskeletal system is one of the human body systems consisting of bones, joints, muscles and other supporting structures such as tendons, ligaments, functioning as body supports. Calcaneus fracture is a bone injury that occurs in the heel bone caused by a traffic accident. The purpose of this study was to determine the intensity of pain before and after being given classical music therapy to Mrs. K with post-calcaneus fracture surgery, the implementation was carried out for 3 days starting on May 30 - June 1, 2025. Pain was measured using a numeric rating scale (NRS). The results of the study showed that there was a decrease in pain intensity after being given therapy. The pain scale was obtained on the first day of 6 and given therapy until the third day obtained a pain scale of 3. The conclusion is that there is an effect of giving classical music therapy to post-fracture surgery patients. Based on the results of this study, it is recommended that music therapy can be used as a more effective non-pharmacological drug to reduce pain
ASUHAN KEPERAWATAN PADA Tn.H DENGAN CKD (Chronic Kidney Disease) YANG MENJALANI TERAPI HEMODIALISA DI RUANGAN PEJUANG RSUD BANGKINANG TAHUN 2025 Febriyanti, Iin; Indrawati
Jurnal Spektrum Kesehatan Indonesia Vol. 1 No. 3 (2025): Volume 1 Nomor 3, November 2025
Publisher : El-Emir Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63477/(juski).v1i3.405

Abstract

Chronic Kidney Disease (CKD) is a progressive and irreversible impairment of kidney function that seriously affects the patient’s quality of life and requires hemodialysis therapy as a substitute for kidney function. This study aims to describe the implementation of nursing care for patients with CKD undergoing hemodialysis therapy, with a case study on Mr. H at Bangkinang Regional General Hospital. The design used is a descriptive case study with a nursing process approach. The assessment results showed main complaints including shortness of breath, back pain, sleep disturbances, and decreased appetite. The established nursing diagnoses include ineffective breathing pattern, acute pain, sleep pattern disturbance. After three days of intervention, gradual improvement in the patient’s condition was observed. The conclusion of this study shows that structured and continuous nursing care plays an important role in improving the condition and quality of life of patients with CKD. It is recommended that nurses continue to enhance education, monitoring, and holistic support for patients and their families
ASUHAN KEPERAWATAN PADA TN. H DENGAN PNEMONIA DI RSUD BANGKINANG nurasikin; Yenny Safitri; Ridha Hidayat; Muhammad Nizar Syarif Hamidi
Jurnal Spektrum Kesehatan Indonesia Vol. 1 No. 3 (2025): Volume 1 Nomor 3, November 2025
Publisher : El-Emir Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63477/(juski).v1i3.406

Abstract

Pneumonia is a lower respiratory tract infection characterized by inflammation of the lung tissue due to bacterial, viral, fungal, or aspiration of foreign substances. This disease is one of the main causes of morbidity and mortality, especially in the elderly. This case study aims to provide a comprehensive overview of the implementation of nursing care for pneumonia patients treated in the isolation room of Bangkinang Regional Hospital in 2025. The approach used is the nursing process method which includes assessment, determination of nursing diagnosis, planning, implementation, and evaluation. The subject of the study was a 61-year-old male patient with the main complaint of coughing up phlegm accompanied by blood, shortness of breath, fever, and weakness. Based on the results of the assessment and supporting examinations, several nursing diagnoses were determined, including: ineffective airway clearance, hyperthermia, activity intolerance, ineffective breathing patterns, and risk of nutritional deficit. Nursing interventions were carried out in accordance with the Indonesian Nursing Intervention Standards (SIKI). Evaluation showed an improvement in the patient's condition after nursing actions were carried out for three days. This study emphasizes the importance of systematic and continuous nursing care to improve the health status of pneumonia patients.
ASUHAN KEPERWATAN PADA Ny. D DENGAN CKD (Chronic Kidney Disese) YANG MENJALANI HEMODIALISIS DI RUANGAN PEJUANG RSUD BANGKINANG TAHUN 2025 Tetti; Riani
Jurnal Spektrum Kesehatan Indonesia Vol. 1 No. 3 (2025): Volume 1 Nomor 3, November 2025
Publisher : El-Emir Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63477/(juski).v1i3.407

Abstract

Chronic Kidney Disease (CKD) is a major health problem characterized by a progressive decline in kidney function lasting more than three months. Based on data from 2024 and 2025, CKD ranked 10th among the ten most prevalent diseases at RSUD Bangkinang. The causes of CKD are varied, including diabetes mellitus, hypertension, infections, urinary tract obstructions, immune disorders, and congenital diseases that lead to decreased GFR. This study aims to implement nursing care for CKD patients undergoing hemodialysis at RSUD Bangkinang, specifically for Mrs. D, who was treated in the Pejuang ward. Data collection methods included direct observation, interviews with patients and families, and medical record documentation review. The nursing care process was carried out through five stages: assessment, establishing nursing diagnoses, planning interventions, implementing nursing actions, and evaluating outcomes. The researcher identified four main nursing problems: Ineffective Breathing Pattern, Hypervolemia, Acute Pain, and Impaired Skin/Tissue Integrity. Nursing interventions were implemented according to the care plan, including airway management, fluid management, pain management, and skin integrity care. The conclusion of this case study indicates that nursing care for CKD patients undergoing hemodialysis requires a holistic, collaborative, and continuous approach to improve patients’ quality of life.

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