NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871
research Emergency Department, KMB Department, Maternity Department, Department of children, Department of the Soul, Community, family and gerontik departments Research oriented to the care and handling of Airway emergencies, Breathing, Circulation, Disability, Manual procedures for disaster management, evacuation, restoration of quality of life, Care and treatment of asphyxia, tetanus neonaturum, febrile seizures, Early detection of Sucide tentacles, Violence, publication of national and international journals .
STUDI KASUS ASUHAN KEPERAWATAN ANAK PADA BAYI BBLR DENGAN PENERAPAN METODE KANTONG PLASTIK UNTUK MENINGKATKAN SUHU TUBUH DI RUANG PERINATOLOGI
Latar belakang Berat Badan Lahir Rendah merupakan kondisi berat badan yang lahir di bawah 2.500 gr tanpa melihat usia kehamilan. BBLR menjadi penyebab utama kematian pada neonatus. BBLR sangat rentang terkena hipotermi. Dampak dari hipotermi yang akan terjadi pada bayi baru lahir apabila tidak segera ditangani yaitu, hipoglikemi asidosis metabolik. Salah satu cara untuk mencegah kehilangan panas tubuh pada BBLR dengan menggunakan kantong plastik yang merupakan salah satu metode dengan biaya murah, teknologi rendah untuk wilayah dengan keterbatasan sumber daya.Tujuan menggambarkan asuhan keperawatan anak pada bayi BBLR dengan penerapan metode kantong plastik untuk meningkatkan suhu tubuh bayi BBLR. Metode yang digunakan adalah metode deskriptif dengan pendekatan studi kasus dengan jumlah sampel sebanyak 2 pasien. Hasil Penelitian ditemukan bahwa penerapan metode kantong plastic efektif untuk meningkatkan suhu tubuh pada bayi BBLR. Setelah diberikan asuhan keperawatan selama 3x24 jam menunjukkan bahwa adanya peningkatan suhu tubuh. Kesimpulan suhu tubuh bayi meningkat setelah diberikan kantong plastic selama 3 hari.
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STUDI KASUS ASUHAN KEPERAWATAN ANAK DENGUE HEMORRHAGIC FEVER (DHF) DENGAN INTERVENSI PEMBERIAN JUS JAMBU BIJI UNTUK MENINGKATKAN TROMBOSIT DI RUANG MELATI
Latar belakang Penyakit demam berdarah dengue, atau DHF, infeksi virus yang disebabkan oleh gigitan nyamuk aedes aegypti, yang biasanya ditandai dengan gejala seperti mendadak demam tinggi (39–40°C), nyeri retro-bulbar, nyeri otot, nyeri sendi, malaise, mual, ruam, limfadenopati, dan trombositopenia. Penyakit DHF memiliki proses yang sangat cepat dan sering menjadi fatal karena banyak pasien yang meninggal akibat penanganan terlambat. Perdarahan dapat terjadi akibat adanya gangguan fungsi trombosit. Untuk mengatasi masalah trombositopenia dengan banyak cara salah satunya terapi non-farmakologi pemberian jus jambu biji. Salah satu alternatif yang dapat mempercepat penyembuhan penyakit DHF adalah jambu biji, merupakan salah satu terapi dengan biaya murah, dan mudah untuk didapatkan. Tujuan menggambarkan asuhan keperawatan anak pada DHF dengan penerapan terapi pemberian jus jambu biji untuk meningkatkan trombosit. Metode yang digunakan adalah metode deskriptif dengan pendekatan studi kasus dengan jumlah sampel sebanyak 3 pasien. Hasil Penelitian ditemukan bahwa penerapan terapi pemberian jus jambu biji pada anak DHF. Setelah diberikan asuhan keperawatan selama 3x24 jam menunjukkan bahwa adanya peningkatan trombosit. Kesimpulan trombosit pada kedua anak meningkat setelah diberikan jus jambu biji selama 3 hari sedangkan pada anak ketiga hanya dipantau hasil laboratoriumnya sehingga trombositnya meningkat namun belum mencapai normal.
ASUHAN KEPERAWATAN TERAPI UAP MINYAK KAYU PUTIH DALAM MENURUNKAN BERSIHAN JALAN NAFAS TIDAK EFEKTIF PADA ANAK DENGAN BRONKOPNEUMONIA
Latar Belakang Penyakit infeksi saluran pernapasan merupakan salah satu masalah kesehatan yang utama di dunia. Adapun salah satu penyakit infeksi saluran pernapasan pada balita yang menjadi penyebab kematian tertinggi dikalangan anak-anak ialah bronkopneumonia. Tujuan untuk menggambarkan asuhan keperawatan pemberian terapi uap minyak kayu putih dalam menurunkan bersihan jalan nafas tidak efektif pada anak dengan bronkopneumonia. Metode yang digunakan adalah metode deskriptif dengan pendekatan studi kasus dengan jumlah sampel sebnayak 2 pasien. Hasil pengkajian Pada kasus ditemukan data bahwa kedua klien mengalami keluhan utama sesuai dengan teori yaitu klien batuk produktif, dispnea, pernafasan cepat dan bunyi pernafasan ronchi, diagnosa yang ditemukan pada kedua klien yaitu bersihan jalan napas tidak efektif, Perencanaan yang digunakan dalam kasus pada kedua klien disesuaikan dengan masalah keperawatan yang ditegakkan berdasarkan kondisi klien, Tindakan keperawatan disesuaikan dengan rencana tindakan yang telah penulis susun. Tindakan keperawatan yang dilakukan pada klien 1 dan klien 2 sesuai dengan rencana keperawatan yang telah direncanakan berdasarkan teori yang ada dan disesuai dengan kebutuhan anak. Kesimpulan terapi uap minyak kayu putih dapat menurunkan bersihan jalan nafas tidak efektif pada anak dengan bronkopneumonia.
HUBUNGAN MOTIVASI PERAWAT DENGAN KESESUAIAN PENGISIAN NATIONAL INSTITUTES OF HEALTH STROKE SCALE (NIHSS) DI RSUD PROF. DR. MARGONO SOEKARJO PURWOKERTO
The NIHSS (National Institutes of Health Stroke Scale) used a quantification method to determine stroke sensitivity as 0.71-0.90, with a mean correlation between stroke sensitivity and neurological assessment. The study aimed to identify clinically significant patients who were diagnosed with the NIHSS method and to identify patients with stroke. The study aims to provide information and motivation for patients with the NIHSS stroke assessment and to conduct a stroke assessment at the RSUD stroke Center Prof. Dr. Margono Soekarjo Purwokerto. This method of drilling involves drilling in a certain quantity using cross-sectional drilling. The population and sample of penitent children is estimated at 35 people using the sensible method. The statistics used are Chi-square. This index shows the Chi-square mean motivation and overall NIHSS pension assessment with a mean value of 0.858 and a significance level of 0.000. The mean mean value of the NIHSS mean value assessment was 0.718 with a significance level of 0.000 or lower from the alpha level (α = 0.05). The method used to determine the amount of money spent on the room is as follows: if the calculation can be done with a high degree of accuracy, the player who is also interested will be able to calculate the amount and motivation for the calculation in the table, so the NIHSS assessment will be carried out quickly.
Ketidaknyamanan pada Perempuan Fluor Albus Fisiologis dengan Intervensi Air Rebusan Sirih Merah
Physiological fluor albus, or normal vaginal discharge, is a common phenomenon experienced by women, playing a role in maintaining vaginal cleanliness and moisture. However, limited public understanding often leads to misconceptions and inappropriate management. This study aims to analyze comprehensive midwifery care in a case of physiological fluor albus in Nn. A 16 years old using an intervention of red betel leaf decoction at Puskesmas Tanjung Kerang, Musi Banyuasin, South Sumatera. The study employed a case study method with a descriptive qualitative approach. Data were collected through interviews, SOAP (Subjective, Objective, Assessment, Plan) assessment, observation, and documentation. Interventions included reproductive health education, improved personal hygiene, the use of red betel leaf decoction as a natural antiseptic, recommendations for a nutritious diet, and psychological support. The results indicated that the intervention effectively reduced complaints of vaginal discharge and improved the patient's understanding and healthy habits. The use of red betel leaf decoction proved safe, accessible, and effective in managing physiological fluor albus. This study highlights the importance of local wisdom-based midwifery care approaches in enhancing women's quality of life, especially in rural areas with limited access to healthcare services.
Pengaruh Teknik Distraksi Menggunakan Video Animasi Kartun Terhadap Tingkat Kecemasan Pada Pasien Anak Pre Sirkumsisi
Anxiety is something that children often experience before performing circumcision. One of the efforts to help reduce anxiety levels in pre-circumcision children is the provision of distraction techniques using cartoon animation videos. Cartoon movies will provide distraction stimuli in the form of visual, auditory and tactile.Objective to determine the effect of distraction techniques using cartoon animation videos on anxiety levels in pre-circumcision pediatric patients.This type of research is a quasi-experimental study with a one group pre-test post-test design. The sample was 28 children who performed circumcision at Modern Circumcision Sukoharjo with a sampling technique using purposive sampling. The research instrument used cartoon animation video distraction and Visual Analog Scale for Anxiety. Data analysis using Wilcoxon test. Results a total of 26 respondents (92.9%) experienced moderate anxiety, 2 respondents (7.1%) experienced severe anxiety before receiving cartoon animation video distraction. A total of 19 respondents (67.9%) experienced mild anxiety and 9 respondents (2.1%) experienced moderate anxiety after receiving cartoon animation video distraction. The Wilcoxon results showed a significance value of p-value = 0.001. Conclusion there is an effect of distraction techniques using cartoon animation videos on anxiety levels in pre-circumcision pediatric patients at Modern Circumcision Sukoharjo.
KARAKTERISTIK IBU DENGAN KEJADIAN GIZI KURANG PADA BAYI 6-24 BULAN DI WILAYAH KERJA KELURAHAN TANJUNG UNGGAT
Children under 5 years old (infants) are in their golden age. Children at this age grow rapidly and need to be fed on demand. Children who get the right nutrition and according to their needs will grow and develop optimally and develop into quality human resources. Children at this age are vulnerable to nutritional problems. Nutrition is a measure of a person's physical condition and is determined by the food we eat and how the nutrients are used by the body. Objective To determine the characteristics of mothers with cases of malnutrition in infants aged 6-24 months in the Tanjung Unggat sub-district work area. The research method is descriptive observational and analyzed univariately and bivariately using the chi square test. Results The nutritional status of toddlers is mostly lacking (68.75%) The education level of mothers is mostly high school (50%). The employment status of mothers is mostly unemployed (53%). The results of the chi-square test analysis show that the p value for the mother's age with the nutritional status of toddlers is 0.022, the p value for the mother's education level with the nutritional status of toddlers is 0.001, the mother's employment status with the nutritional status of toddlers is 0.003. Conclusion: There is a relationship between age, maternal education level, maternal occupation and nutritional status of toddlers.
Learning Method with Table-top Disaster Exercise Can Improve Nursing Students' Knowledge and Skill: Literature Review
Nurses must now strengthen their duties as disaster nurses in emergency response due to the rising frequency of disasters. This scenario can be addressed by improving nursing students' initial readiness through disaster education; hence, this proposal calls for new approaches to creative and successful disaster learning. Simulation using a Tabletop Disaster Exercise (TDE) is one of the suggested teaching strategies. The objective of this research is to determine whether the TDE learning method can enhance nursing students' knowledge. This literature uses inclusion and exclusion criteria, articles obtained, reviewed, and obtained from databases, namely, Google Scholar (2020–2024), PubMed (2020–2024), and Wiley Online Library (2020–2024). The search strategy with terms used in English is as follows: TDE and Nursing Student and Knowledge. The year the literary source is taken from 2020 until 2024. Search strategy with the keyword “TDE and Knowlegde and skill and nursing student,” and in Bahasa Indonesia “metode dan TDE dan pengetahuan dan keterampilan dan mahasiswa keperawatan .” This is to make sure all the articles obtained are relevant and appropriate, then the full text is downloaded and saved. The initial identification of titles and abstracts in PubMed received 118 articles, in Wiley Online Library received 136 articles, and in Google Scholar received 4,311 articles, totaling 4,565 articles. The results of the literature review from 13 articles state that the TDE method can significantly improve nursing students' knowledge and skills in disaster management. All the discussed articles state that the use of tabletop disaster training media among nursing students in the context of disaster nursing can enhance their knowledge and skills. In addition, they can also experience it as if it were the real world.
HUBUNGAN ANTARA PERILAKU CARING PERAWAT DENGAN TINGKAT KECEMASAN PASIEN PRE OPERASI DI RST WIJAYAKUSUMA PURWOKERTO
Surgery or surgery involves invasive procedures that expose the body part to be treated. The perception of surgical procedures as a life-threatening process causes a person to experience anxiety and the caring behavior of nurses to preoperative patients aims to reduce patient anxiety and be ready to undergo surgery. The purpose of this study was to determine the relationship of nurses' caring behavior with the anxiety level of preoperative patients at RST Wijayakusuma Purwokerto. This type of research is quantitative correlation with a cross sectional approach. The sampling technique was consecutive sampling with a total sample of 30 patients. Data collection was carried out in December 2024. The instruments used were the Amsterdam Preoperative anxiety and Information Scale (APAIS) questionnaire and the CBI-24. The results of the study based on the spearman-rank test obtained a p-value = 0.038 < α (α = 0.05), and a correlation coefficient value of -0.381 which indicates that there is an unidirectional relationship between the level of anxiety and the caring behavior of nurses towards preoperative patients in the Antasena Room RST Wijayakusuma Purwokerto means that when the caring behavior of nurses is high, anxiety in preoperative patients will be low and vice versa.
TEKNIK PURSSED LIPS BREATHING TERHADAP POLA NAPAS PASIEN COMMUNITY ACQUERE PNEUMONIA (CAP)
Community Acquired Pneumonia (CAP) is an acute inflammation of the lung parenchyma. CAP is a disease that occurs frequently and is associated with a high mortality rate, especially in elderly patients and patients. Management of Community Acquired Pneumonia can be done pharmacologically and non-pharmacologically. Non-pharmacological therapy that can be carried out in pneumonia patients with ineffective breathing pattern nursing problems according to SIKI is airway management. One other therapy that can be carried out independently by nurses is Pursed Lip Breathing therapyThe pursed lips breathing technique can help induce a slow breathing pattern, increase oxygen transport, help patients control breathing and also train respiratory muscles, it can also increase the release of carbon dioxide caused by trapped carbon dioxide because the alveoli lose their elasticity, so gas exchange cannot be achieved . carried out optimally and increases dead space in the lungs. The method used is a case study of one CAP patient who was treated in the ICU at RSUD dr. T. C. Hillers Maumere. The results of the case study show that the management of nursing care for CAP patients in reducing shortness of breath, namely providing the pursed lips breathing technique for 3 days, resulted in the first day RR 30x/minute, down to 28x/minute, the second day shortness of breath 28x/minute, down to 22x/minute and third day 20x/minute. This shows that the use of the purses lips breathing technique has an effect on reducing shortness of breath in CAP patients.
ASUHAN KEPERAWATAN DENGAN GANGGUAN INTEGRITAS KULIT PADA LANSIA PENDERITA DIABETES DI RUANG SANKAI RS NISHIHARA KEIAIEN JEPANG
Diabetes mellitus (DM) is a heterogeneous group of disorders characterised by elevated blood glucose levels or hyperglycaemia. Diabetes can cause ulcers, especially on the feet. Diabetic ulcers are open wounds that often occur in people with diabetes due to nerve and blood vessel damage caused by uncontrolled high blood sugar levels. These wounds can cause infection and, if left untreated, can lead to amputation. Wound ulcer treatment with NaCl (sodium chloride) or saline is a commonly used procedure to clean and keep the wound moist. NaCl 0.9% (intravenous fluid) is considered safe and effective because its composition is similar to blood plasma, so it does not cause irritation or allergic reactions. The design used in this case study research is descriptive research. The study in this research is a way to describe the application of nursing care in the elderly with skin integrity (back abscess) in the Sankai Room of RS Keiaien Okinawa Japan including assessment, diagnosis, intervention, implementation, and evaluation carried out on 11-13 June 2023. The subject of this case study is patient Mrs S with a medical diagnosis of DM in the Nikai room of Nishihara Keiaien Okinawa Hospital, Japan. The author conducted this research by interviewing and observing the case study subject to find information to compile a report conducted for 3x24 hours. The results of the final evaluation of the implementation of back abscess treatment with wound cleansing with NaCl 0.9% and the results of skin/tissue integrity disorders improved. Characterised by clients saying pain but has decreased, the wound looks dry, no need for dressings.
EFEKTIVITAS AROMATERAPI LAVENDER PADA PASIEN HIPERTENSI DI DESA PRIGI KECAMATAN PADAMARA KABUPATEN PURBALINGGA
Hypertension is a condition where the blood pressure in the arteries is too high. Hypertension occurs due to excessive workload of the heart when pumping blood throughout the body to meet the needs of oxygen and nutrients by the body. Hypertension is a leading cause of death that is often referred to as the silent killer disease. Hypertension, or high blood pressure, can cause pain, especially headaches and pain in the neck area, due to increased pressure on the blood vessel walls. Pain in hypertension can be treated with various alternatives, both pharmacologically and non-pharmacologically. Pharmacologically, it can be treated with analgesic drugs. One natural method that is considered effective in reducing pain is lavender aromatherapy. This case study aims to describe the application of Lavender Aromatherapy in Hypertension Patients in Prigi Village, Padamara District, Purbalingga Regency. The case study was carried out by observation for 2x meetings and the intervention of giving lavender aromatherapy for 2 days on December 11-12, 2024. The results of the case study of the application of lavender aromatherapy on the first day the patient was still in pain by showing a decrease in the pain scale on the second day. On the first day, the patient's level before being given lavender aromatherapy therapy with a pain scale of 5 (moderate pain) after being given lavender aromatherapy therapy became 4 (moderate), on the second day there was a significant decrease in the pain scale after being given lavender aromatherapy therapy, namely scale 2 (mild pain). Lavender aromatherapy in hypertension patients in Prigi Village, Padamara District, Purbalingga Regency is effective in reducing pain applied for 2x24 hours showing significant results from a pain scale of 5 (moderate pain) to a pain scale of 2 (mild pain).
PENGARUH POSISI NESTING DAN TERAPI MUROTTAL AL-QUR`AN TERHADAP TANDA VITAL BAYI BBLR DENGAN ASFIKSIA DI NICU: CASE STUDY
Background: Low Birth Weight (LBW) infants have a much higher risk of experiencing perinatal asphyxia. Treatment interventions that can be applied to infants with LBW and asphyxia are nesting positions and Al-Qur'an Murottal Therapy. Nesting positions and Al-Qur'an Murottal Therapy in LBW infants with asphyxia can have a positive impact on the stability of vital signs, such as heart rate, respiratory rate, oxygen saturation, and body temperature. Research method: This study used a case report method with the intervention of nesting positions and Al-Qur'an Murottal Therapy in LBW infants with asphyxia in the NICU. The intervention was carried out for five consecutive days with a duration of 30 minutes per day. Results: After the intervention for 5 consecutive days, there was a decrease in the average heart rate from 150.6 x/minute to 145.8 x/minute, a decrease in the average respiration from 59.2 x/minute to 56.2 x/minute, an increase in the average oxygen saturation from 94% to 96.6%, an increase in the average temperature from 36.2°C to 36.6°C. Conclusion: The provision of nesting positions and Al-Qur'an Murottal Therapy have an effect on vital signs including heart rate, respiration, oxygen saturation, and body temperature in Low Birth Weight (LBW) babies with asphyxia
Pengaruh Talking to Babies Dan Murotal Al-Quran Terhadap Kestabilan Saturasi Oksigen Dan Frekuensi Nadi Pada Bayi Dengan Berat Badan Lahir Rendah
Background: Babies with LBW are susceptible to medical complications, especially in breathing and heart. Immature lungs and heart affect oxygen saturation and pulse rate, so monitoring is needed to prevent serious complications. One complementary technique that can be used to maintain stable oxygen saturation and pulse rate is baby talk therapy and Al-Quran recitation. Research Method: The research method used is a case report using the intervention method. The study was conducted in the Peristi Tjitrowardojo Purworejo room, the research time was March 12-15, 2025. The research participants consisted of one neonatal patient with a diagnosis of LBW. Measurement of oxygen saturation and pulse rate was carried out before and after the intervention was given. Results: After the intervention of Talking to the baby for 5 minutes and Murotal Al-Qur'an Surat Ar-rahman for 30 minutes for four days showed an increase in oxygen saturation and a decrease in the baby's pulse rate. Conclusion: baby talking therapy and Murottal Al-Qur`an Surat Ar-Rahman have positive effects on oxygen saturation and pulse rate in patients with LBW.
PENGARUH TERAPI MUROTTAL AL-QUR’AN SURAT AR-RAHMAN TERHADAP KESTABILAN SATURASI OKSIGEN PADA BAYI BBLR
Background: Bayi berat lahir rendah cenderung mengalami gangguan pernafasan akibat kekurangan oksigen dalam tubuhnya. Kondisi ini ditandai dengan frekuensi pernafasan lebih dari 60 kali per menit. Purpose: Untuk mengkaji pengaruh terapi murottal Al-Quran terhadap stabilitas saturasi oksigen pada bayi BBLR. Method: Metode yang digunakan dalam penelitian ini adalah studi kasus dengan penerapan murottal Al-Quran Ar-Rahman yang dilakukan selama 5 hari pada bayi BBLR di ruang NICU RSUD Dr. Trjitrowardojo Purworejo. Result: Hasil studi kasus ini menunjukkan bahwa setelah dilakukan intervensi terapi murottal Al-Quran Ar-Rahman selama 5 hari berturut-turut terdapat pengaruh terhadap saturasi oksigen pada bayi BBLR. Conclusion : Penerapan intervensi terapi murottal dapat menstabilkan saturasi oksigen pada bayi BBLR.
Pengaruh Nesting dan Terapi Murotal Al-Quran Surah Ar-Rahman terhadap Kestabilan Fisiologis Bayi Berat Lahir Rendah di Ruang Perinatal Risiko Tinggi
Background: Bayi Berat Lahir Rendah (BBLR) memiliki sistem organ tubuh yang belum matur, sehingga menyebabkan bayi sulit untuk beradaptasi dengan lingkungan dan mengakibatkan terjadinya perubahan fisiologis. Perubahan fisiologis tersebut meliputi suhu, nadi, pernapasan, dan saturasi oksigen. Tindakan keperawatan yang dapat dilakukan untuk menstabilkan perubahan fisiologis dan perbaikan status kesehatan bayi adalah penggunaan nesting dan terapi murotal Al-Quran. Purpose: Menilai pengaruh intervensi nesting dan terapi murotal Al-Quran pada pasien neonates dengan berat lahir rendah. Methods: Metode yang digunakan dalam penelitian ini adalah studi kasus dengan menggunakan metode intervensi pada pasien neonatus dengan diagnosa BBLR dan memiliki riwayat kelahiran premature yang dilakukan selama 5 hari di Ruang Peristi RSUD Dr. Tjitrowardojo Purworejo. Results: Hasil studi kasus ini menunjukkan selama 5 hari intervensi nesting dan terapi murotal Al-Quran Surah Ar-Rahman respon fisiologis bayi rata-rata stabil dan berada dalam rentang normal. Conclusion: Terdapat pengaruh pemberian penggunaan nesting dan Terapi Murotal Al-Quran Surah Ar-Rahman terhadap kestabilan fisiologis bayi pada Bayi Berat Lahir Rendah.
PERBANDINGAN KOMPRES HANGAT DAN KOMPRES DINGIN TERHADAP NYERI INSERSI AVF PADA PASIEN YANG MENJALANI HEMODIALISIS
Chronic Kidney Disease (CKD) requires long-term hemodialysis therapy which often causes pain due to needle insertion in Arteriovenous Fistula (AVF). This pain can interfere with patient comfort and compliance with therapy. This study aims to compare the effectiveness of warm and cold compresses in reducing AVF insertion pain in hemodialysis patients. The study used a quasi-experimental pretest and posttest design without a control group with a case study approach. The study was conducted in the hemodialysis room of dr. Tjitrowardojo Hospital on April 28–May 10, 2025. Three respondents were selected purposively according to the inclusion criteria. The variables observed were the level of pain before and after the intervention using the Numeric Rating Scale (NRS). Warm (43°C) and cold (11°C) compresses were given for 10 minutes before the procedure. Analysis using paired sample t-test. Both interventions reduced pain, but cold compress was significantly more effective (p = 0.020) than warm compress (p = 0.130). Cold compress is more effective as a non-pharmacological method in reducing AVF insertion pain. This intervention can be considered by health workers because it is simple, inexpensive, and effective.
Efektivitas Minyak Zaitun dalam Mengatasi Pruritus pada Pasien Hemodialisis
Chronic kidney disease (CKD) causes a progressive decline in renal function, necessitating lifelong hemodialysis (HD) as a replacement therapy. However, HD often leads to complications, including uremic pruritus, which negatively impacts patients' comfort, sleep quality, and overall well-being. Effective management strategies are essential to alleviate these symptoms. This study evaluates the efficacy of olive oil as a non-pharmacological intervention for managing uremic pruritus in HD patients. A case study approach was employed, involving four participants who applied olive oil (2–3 mL) three times daily for three consecutive days. Pre- and post-intervention assessments were conducted using the 5-D itch scale. Findings showed an average reduction in pruritus severity (n=4) by 3.5 (p < 0.001). Responses to the 5-D itch scale indicated improvements in skin hydration, wound healing, and sleep quality. Olive oil effectively reduced pruritus severity from severe to moderate, and from moderate to mild. Participants reported increased skin moisture, faster healing of scratch-induced lesions, reduced itching sensations, and enhanced sleep quality. Based on these findings, olive oil can be recommended as a safe and effective therapeutic option for CKD patients. Integrating olive oil application into nursing practice may help manage uremic pruritus and improve patient comfort by mitigating skin-related complications.
EFEKTIVITAS RELAKSASI OTOT PROGRESIF DAN RELAKSASI NAFAS DALAM TERHADAP TEKANAN DARAH PADA KLIEN HIPERTENSI DI PUSKESMAS WONOSARI BONDOWOSO
Background: Hypertension is an important health problem to pay attention to in society, because hypertension rarely causes symptoms and can kill silently. Individuals are said to be hypertensive if their systolic blood pressure is 140 mmHg or more and diastolic blood pressure is 90 mmHg or more. The number of hypertension sufferers continues to increase every year, an estimated 1.5 billion people suffer from hypertension in 2025 and an estimated 9.4 million deaths each year due to hypertension and its complications. Objective: To determine the effectiveness of progressive muscle relaxation and deep breathing relaxation on blood pressure in hypertensive clients at the Wonosari Bondowoso Community Health Center. Method: This research uses a quasi-experiment, the design used is a quasi-experimental pretest and posttest with a two group control design. Results: The results of the Wilcoxon systolic and diastolic statistical test showed that the p value was 0.000. Conclusion: There is an influence of progressive muscle relaxation and deep breathing relaxation on blood pressure in hypertensive clients. In the results of this study, there was no significant effect between progressive muscle relaxation and deep breathing relaxation
PENGARUH TERAPI BERMAIN MENGGUNTING DAN MENEMPEL KERTAS TERHADAP PERKEMBANGAN MOTORIK HALUS ANAK PRASEKOLAH DI TK AL-HIDAYAH CURAH KALAK KABUPATEN SITUBONDO
Fine motor development is a crucial aspect for preschool children, yet not all children progress at the same rate. Despite its importance, the appropriate methods for stimulating this development are not well understood. This study aims to analyze the impact of cutting and pasting play therapy on the fine motor development of preschool children at TK Al-Hidayah Curah Kalak, Situbondo Regency. This research employed a quasi-experimental design with a pretest-posttest format and no control group. The sample consisted of 40 children selected through total sampling. Data analysis was conducted using the Wilcoxon Signed Rank test to evaluate differences before and after the intervention. Before the intervention, 75% of children were classified as "Suspect" in the cutting activity, and 77.5% were classified as "Suspect" in the pasting activity. After the intervention, 85% of the children reached the "Normal" category in the cutting activity, and 90% in the pasting activity. The Wilcoxon test results showed a p-value of 0.000, indicating a significant effect of the play therapy on improving the children's fine motor skills. Cutting and pasting play therapy significantly enhanced the fine motor development of preschool children at TK Al-Hidayah Curah Kalak, Situbondo Regency.
PERBANDINGAN EFEKTIVITAS PEMBERIAN ELECTRIC BLANKET DAN INFUSION WARMER TERHADAP KEJADIAN HIPOTERMI PADA PASIEN POST SECTIO CAESARIA
Background: Sectio Caesaria (CS) is a surgical procedure performed on patients to remove the fetus by opening the abdominal wall and uterine wall. The CS procedure with spinal anesthesia increases the risk of hypothermia. Hypothermia is a condition when the body loses heat faster than heat production with a body temperature below 36.5°C. Hypothermia often causes discomfort in post-CS patients so that effective intervention is needed to treat it. Objective: This study aims to determine the comparative effectiveness of providing electric blankets and infusion warmers on the incidence of hypothermia in CS patients. Method: This study uses quantitative research using a quasi-experimental design. The sample used purposive sampling with many samples taken were 10 post-SC patients and divided into two intervention groups with 1 group containing 5 post-SC patients. Measurements using an axillary thermometer with an intervention time of 15 minutes Results of the study: the results showed a significant difference between the electric Blanket and Infusion Warmer with an increase in temperature before and after the use of the Electric Blanket of 0.8°C and an average increase in temperature before and after the use of the Infusion Warmer of 0.6°C with p = 0.001 (p-value <0.05). Conclusion: this study concluded that there was a significant difference in effectiveness between the use of electric blankets and infusion warmers, the use of electric blankets was more effective in increasing the body temperature of post-sc patients
Efektivitas Aromaterapi Lavender Pada Pasien Dislokasi Lutut Dengan Nyeri Akut Di RST Wijayakusuma Purwokerto
Knee dislocation is a condition where the bones in the knee shift from their normal position. It can occur in the thigh bone (femur), shin bone (tibia) and kneecap bone (patella). Pain is an unpleasant symptom experienced by patients with knee dislocation. Pain in knee dislocation can be treated with various alternatives, both pharmacologically and non-pharmacologically. Pharmacologically, it can be treated with analgesic drugs. One natural method that is considered effective in reducing pain is lavender aromatherapy. This case study aims to describe the application of Lavender Aromatherapy in Knee Joint Dislocation Patients with Acute Pain in the Village of RST Wijayakusuma Purwokerto. Case studies were carried out by observation for 2x meetings and interventions providing lavender aromatherapy for 2 days on February 24-25, 2025. The results of the case study of the application of lavender aromatherapy on the first day the patient was still in pain by showing a decrease in the pain scale on the second day. On the first day, the patient's level before being given lavender aromatherapy therapy with a pain scale of 6 (moderate pain) after being given lavender aromatherapy therapy became 5 (moderate), on the second day there was a significant decrease in pain scale after being given lavender aromatherapy therapy, namely scale 2 (mild pain). Lavender aromatherapy in Knee Joint Dislocation Patients with Acute Pain in RST Wijayakusuma Purwokerto Village is effective in reducing pain applied for 2x24 hours showing significant results from a pain scale of 6 (moderate pain) to a pain scale of 2 (mild pain).
Efektivitas Slow Stroke Back Massage (SSBM) Terhadap Nyeri Akut Pasien Post Sectio Caesarea di Ruang HCU Maternal RSUD Dr. Margono Soekarjo Purwokerto
Sectio Caesarea (SC) delivery has side effects such as severe pain in the postoperative wound. Pain is an unpleasant symptom experienced by post sectio caesarea patients. Pain in post sectio caesarea can be treated with various alternatives, both pharmacological and non-pharmacological. Pharmacologically, it can be treated with analgesic drugs. One natural method that is considered effective in reducing pain is Slow Stroke Back Massage therapy. This case study aims to describe the application of Slow Stroke Back Massage therapy in Post Sectio Caesarea Patients With Acute Pain at Dr Margono Soekarjo Purwokerto Hospital. Case studies conducted by observation for 3x meetings and interventions providing Slow Stroke Back Massage therapy for 3 days on 16-18 January 2025. The results of the case study of the application of Slow Stroke Back Massage therapy on the first day the patient was still in pain and showed a decrease in the pain scale on the second day. On the first day, the patient's pain intensity before being given Slow Stroke Back Massage therapy with a pain scale of 7 (severe pain), on the second day there was a decrease in pain scale after giving Slow Stroke Back Massage therapy to scale 5 (moderate pain) and on the third day there was a significant decrease in pain scale after giving Slow Stroke Back Massage therapy to scale 3 (mild pain). Giving Slow Stroke Back Massage therapy to Post Sectio Caesarea Patients With Acute Pain at Dr. Margono Soekarjo Purwokerto Hospital is effective in reducing pain applied for 3x24 hours showing significant results from a pain scale of 7 (severe pain) to a pain scale of 3 (mild pain).
Asuhan Keperawatan Pasien Dengan Harga Diri Rendah Kronis Kronis Di RSUD Prof Dr Soerojo Magelang
Schizophrenia is a multifaceted disorder that affects the brain, causing disturbances in thought, perception, emotion, movement, and behavior. In patients diagnosed with schizophrenia, several nursing problems have been identified, including low self-esteem. Low self-esteem is defined as a negative sense of self. The etiology of this problem is multifactorial, with potential contributors including repeated failures, past trauma, experiences of rejection or not being accepted, and loss. The objective of this study was to delineate the nursing care for schizophrenic patients grappling with low self-esteem and nursing complications. The research employed a case study design, utilizing a nursing approach. The sample population comprised a single patient. The objective of this study was to ascertain the most efficacious nursing care for cases of low self-esteem in patients by implementing the strategy (SP) over the course of three meetings. The findings of the study indicated that on the third day following the implementation of the SP1-SP3 protocol, the subject's low self-esteem exhibited a partial resolution. The patient reported a shift in their sense of self-worth, stating that they no longer perceived themselves as useless. However, they continued to experience a sense of embarrassment when interacting with others. The patient demonstrated an increased inclination toward making eye contact, speaking in a more deliberate and gentle manner, and engaging in interactions with others.
Pengaruh Kompres Aloe Vera Terhadap Penurunan Suhu Tubuh Pada Anak Tifoid Di Ruang Cendana RSUD Kardinah Tegal
Acute systemic infectious disease caused by the microorganism salmonella enterica serotype typhi known as Salmonella typhi (S. typhi) is called typhoid, the symptoms that arise include an increase in body temperature> 37.5oC or called fever. Nursing care that can be done to reduce body temperature in children with fever, namely using non-pharmacological therapy by means of aloe vera compresses. The purpose of this study was to compile Nursing Care for Hyperthermia in Typhoid Children in the Upper Cendana Room at Kardinah Hospital Tegal. The purpose of this study was to determine the effect of aloe vera compress on reducing body temperature in typhoid children in the Cendana Room of Kardinah Tegal Hospital. The research design was a case study conducted for 3 days with a focus on the intervention of aloe vera compresses on typhoid children in the Cendana Room of Kardinah Hospital Tegal. The results of this study were obtained in An. M after doing aloe vera compress for 3 days experienced a decrease in fever, seen on the first day the child had a fever with a body temperature of 38oC and decreased on the second day to 36.8oC and on the third day 36.2oC, the conclusion is that aloe vera compresses can reduce fever in typhoid children. Suggestions for further researchers are expected to examine other non-pharmacological therapies to reduce the body temperature of typhoid children.
Pemberian Jus Jambu untuk Mencegah Perdarahan pada Anak dengan DHF dan Trombositopenia Di Ruang Cendana I RSUD Kardinah Tegal : Studi Kasus
Dengue Hemorrhagic Fever (DHF) is commonly transmitted through mosquitoes infected with the dengue virus. The most feared infection of the dengue virus is bleeding. The risk of bleeding can be overcome by giving red guava juice to increase the patient's platelets. Red guava is classified as a fruit that has significant nutritional content, especially essential vitamins and minerals that play an important role in supporting the physiological functions of the body. The high vitamin C content in this fruit contributes to improving the body's immunity. Furthermore, vitamin C intake from red guava plays a role in stimulating the thrombopoiesis process, which is the formation of new blood platelets. This case study aims to describe the effectiveness of guava juice administration in Dengue Haemorrhagic Fever patients with Thrombocytopenia in Cendana I Room, Kardinah Tegal Hospital. The case study was conducted by observation for 3x meetings and intervention of guava juice for 3 days on April 24-26, 2025. The results of the case study on the first day of the patient's platelets before being given guava juice therapy were 106/mm3, on the second day there was an increase to 138/mm3and on the third day there was a significant increase to 246/mm3. In conclusion, guava juice therapy is effective in increase platelet levels in Dengue Haemorrhagic Fever with Thrombocytopenia in Cendana I Room, Kardinah Tegal Hospital.
Penerapan Kompres Tepid Water Sponge Terhadap Penurunan Suhu Tubuh Pada Anak Dengan Hipertermi Di Ruang Wijaya Kusuma RSUD Kardinah Kota Tegal
Hyperthermia can be defined as a condition of body temperature above normal as a result of an increase in the temperature control center in the hypothalamus. In children who have a fever, the temperature increase is mild, ranging from 37.5-38°C. The impact that can be caused if the fever is not treated is that it can cause brain damage, hyperpyrexia which will cause shock, epilepsy, mental retardation or learning disabilities. To overcome the problem of hyperthermia, several independent nursing actions can be carried out, one of which is the Tepid Water Sponge (TWS). This experiment aims to determine the effect of administering Tepid Water Sponge to patients with hyperthermia in the Wijaya Kusuma Room, Kardinah Tegal Hospital. This experiment was carried out with observations during 3 meetings and interventions for administering the Water Sponge Technique for 3 days on April 14-15, 2025. The results of the first experiment were that the patient's body temperature before being given Tepid Water Sponge was 39.8 Celsius, on the second day there was a decrease in body temperature to 38.2 Celsius, and on the third day the body temperature became 37.5 Celsius. In conclusion, Tepid Water Sponge therapy is effective in lowering body temperature in patients with hyperthermia in the Wijaya Kusuma Room, Kardinah Tegal Hospital.
Efektivitas Terapi Murotal Surah Ar-Rahman Pada Pasien Tumor Hati Dengan Nyeri Akut Di Ruang Lavender Bawah RSUD Kardinah Tegal
Liver tumors are characterized by the abnormal growth of cells in the liver. Acute pain is one of the common symptoms experienced by patients with liver tumors, significantly affecting their quality of life and psychological well-being. Non-pharmacological therapies, such as Qur’anic recitation (murottal), are increasingly used as complementary methods to reduce pain perception. Surah Ar-Rahman is known to produce calming and relaxing effects, both psychologically and physiologically, through its stable sound waves and repetitive recitation rhythm. This study aims to evaluate the effectiveness of Murottal Therapy using Surah Ar-Rahman in reducing pain intensity among patients with liver tumors. The research design is a descriptive case study involving a 44-year-old male patient diagnosed with a liver tumor and undergoing hepatectomy. The intervention involved administering Murottal Therapy with Surah Ar-Rahman for three days (13–15 January 2025). Pain was assessed using the Numeric Rating Scale (NRS) before and after the intervention. The results showed a gradual reduction in pain intensity from a score of 6 (moderate pain) to a score of 2 (mild pain) after three consecutive days of therapy. The significant decrease in pain intensity indicates that Murottal Therapy with Surah Ar-Rahman is effective as a complementary approach to relieve acute pain in liver tumor patients. These findings support the use of Murottal Therapy with Surah Ar-Rahman as a safe and beneficial non-pharmacological intervention in nursing practice. It is recommended that future researchers explore the application of other non-pharmacological therapies for pain management.
Resilience of Inmates of Class IIA Pekalongan State Prison in Facing Legal Problems
Prolonged changes in environment and more difficult situations than before can damage psychological conditions and even lead to thoughts of ending one's life prisoners. resilience, which is the effort to bounce back and improve the difficult situation faced. The study aims to evaluate how the resilience of prisoners in the Class IIA State Detention Center Pekalongan in facing legal problems is depicted. This study uses a descriptive method with a cross-sectional design. Data collection was carried out using a simple random sampling technique. The sample in this study was 155 prisoners of the Class IIA state detention center in Pekalongan. The respondents' resilience level was measured using the Resilience Scale. Based on the resilen respondents showing high resilience were 81 people (54.3%). It is suggested for future researchers to conduct research in two or three locations for data collection so that the data obtained is more varied and meets the required sample size
Pemanfaatan Sumber Daya Alam sebagai Terapi Alternatif dalam Menurunkan Tekanan Darah pada Penderita Hipertensi: Systematic Review
Despite the availability of effective pharmacological treatments, blood pressure control remains suboptimal due to medication-related side effects, adherence issues, and limited access to healthcare, especially in low- and middle-income countries. This systematic review aims to evaluate the efficacy and safety of natural resources in reducing blood pressure among individuals with hypertension, based on evidence from randomized controlled trials (RCTs). Following the PRISMA 2020 guidelines, a comprehensive literature search was conducted in PubMed, ScienceDirect, Cochrane Library, and Medline. Eligible studies were English-language RCTs investigating the effects of medicinal plants, herbal extracts, or natural dietary supplements on systolic and/or diastolic blood pressure. Data were extracted on study design, population characteristics, type of intervention, duration, outcomes, and safety. Twenty-four RCTs were included, covering interventions such as Hibiscus sabdariffa, Nigella sativa, aged garlic extract, oat bran, celery, and polyherbal formulations. Most interventions showed significant reductions in blood pressure, especially in individuals with stage 1 hypertension. Side effects were rare and mild. Conclusion: Natural resources show promise as adjunct antihypertensive therapies, but study heterogeneity limits generalizability. Standardized, large-scale trials are needed.
Asuhan Kebidanan Komprehensif Balita 36 Bulan dengan Berat Badan Kurang
The toddler period (golden period) is a golden period that is very sensitive to the environment and this period lasts very short and cannot be repeated. This study aims to analyze comprehensive midwifery care in a case of underweight in An. A 36 months using an intervention of consumtion papaya 100 gr per a day at PMB Lismarini, South Sumatera. The study employed a case study method with a descriptive qualitative approach. Data were collected through interviews, SOAP (Subjective, Objective, Assessment, Plan) assessment, observation, and documentation. Interventions included consumtion papaya, improved personal hygiene, recommendations for a nutritious diet, and psychological support. The results indicated Obstetric diagnosis is carried out based on the results of the assessment and interventions that have been carried out comprehensively. It is recommended that education on cases of underweight in toddlers can be studied with more focused data related to client health in improving toddler health for readiness to become a healthy and strong next generation.
UPAYA MENINGKATAN PENGETAHUAN KELUARGA MENGENAI PROGRAM KELUARGA BERENCANA (KB) UNTUK MENCEGAH TERJADINYA KEHAMILAN JARAK DEKAT DI DESA PURBAYASA KABUPATEN PURBALINGGA
Pregnancies with short interpregnancy intervals remain a serious public health issue in Indonesia, particularly in rural areas such as Purbayasa Village, Purbalingga Regency. Intervals of less than 24 months between pregnancies significantly increase the risk of complications for both mother and child, and may negatively affect the quality of parenting. This study aimed to evaluate the effectiveness of a family-based educational nursing intervention in improving knowledge and awareness regarding the Family Planning (FP) program as a strategy to prevent closely spaced pregnancies. This research employed a descriptive case study design using the nursing care process, which includes five sequential stages: assessment, diagnosis, planning, implementation, and evaluation. The subject was a pregnant woman with two children, the second of whom was only 1 year and 10 months old. The intervention was carried out through three home visits focusing on the promotion of health behavior (I.12472) and the promotion of family integrity (I.13490). The results demonstrated a significant improvement in the family's understanding and attitudes toward family planning, along with more collaborative and structured parenting practices. The two nursing diagnoses—health behavior at risk (D.0099) and risk of ineffective parenting process (D.0128)—showed meaningful improvements or were resolved. In conclusion, the structured and participatory educational intervention was effective in enhancing family awareness and behavioral changes related to pregnancy planning and child-rearing.
Penerapan Pijat Oksitosin Pada Ibu Post Partum Dengan Menyusui Tidak Efektif Di Ruang Mawar RSUD Kardinah Tegal
Ineffective breastfeeding is a common issue among postpartum mothers and can hinder the provision of exclusive breastfeeding, which may negatively impact infant growth and development. Non-pharmacological interventions such as oxytocin massage have been proven to improve breastfeeding effectiveness by stimulating the release of oxytocin, a hormone essential for the milk ejection reflex, while also promoting maternal relaxation. This study aimed to examine the effectiveness of oxytocin massage in addressing ineffective breastfeeding among postpartum mothers. A descriptive case study design was employed, utilizing a nursing care process approach. The subject was a 34-year-old postpartum mother (Ny. T) on her second day after spontaneous delivery, experiencing difficulties in breastfeeding. Oxytocin massage was administered over a 3-day period from January 13 to 15, 2025, following standard operating procedures (SOP), with each session lasting 15–20 minutes. Evaluation included observation of breastfeeding frequency, expressed breast milk volume, infant suckling strength, and post-feeding infant behavior.The evaluation revealed a significant improvement in breastfeeding effectiveness. The frequency of breastfeeding increased from 3 to 8 times per day, milk volume rose from approximately 5 ml to 30 ml per session, infant suckling strength improved, and the baby appeared satisfied after feeding. The breastfeeding effectiveness score increased from 2 (ineffective) to 4 (effective). Additionally, the mother reported feeling more confident and less anxious. Oxytocin massage proved to be an effective, simple, safe, and low-cost non-pharmacological intervention for enhancing breastfeeding among postpartum mothers. This technique can be integrated into maternal nursing care practices in healthcare facilities.
HUBUNGAN TINGKAT KECEMASAN DENGAN ADAPTASI SOSIAL PADA LANSIA DENGAN PENDEKATAN TEORI MODEL ADAPTASI ROY DI UPT PSTW BONDOWOSO
Introduction: The elderly or elderly are often understood by health and social practitioners as a vulnerable group with the increasing number of elderly population, there are also several problems that will arise, including physical or psychosocial problems. One of the psychosoial problems often experienced by the elderly is anxiety or anxiety. One of the most common causes of anxiety in the elderly is social support, especially in the elderly who are in social institutions.Researchers' objective: to determine the relationship between anxiety levels and social adaptation in the elderly with roy's adaptation model theory approach at UPT PSTW Bondowoso. Research Method: using a type of quantitative research in the form of correlation research that essentially examines the relationship between variables. In this study, there were 80 respondents who were UPT PSTW Bondowoso The instrument used in this study was a questionnaire consisting of 14 questions and 14 questions. Results: this study used spearmen't rank test, P value of 0.000. Because of the P<0.05 value, Ho was rejected and Ha was accepted so that it can be concluded that there is a fairly high positive relationship between the relationship between the level of anxiety and social adaptation in the elderly with the approach of roy's adaptation model theory at UPT PSTW Bondowoso. Conclusion: based on the results of this study, there is a relationship between anxiety levels and social adaptation in the elderly with roy's adaptation model theory approach at UPT PSTW Bondowoso.
PENGARUH PEMBERIAN POSISI ORTHOPNEIC TERHADAP SATURASI OKSIGEN, RESPIRATION RATE DAN FATIGUE PADA PASIEN CONGESTIVE HEART FAILURE DI INSTALASI GAWAT DARURAT
Structural and functional abnormalities of the heart cause congestive heart failure (CHF), a clinical syndrome. CHF is characterized by a reduced ability of the heart to pump blood so that the resulting cardiac outputis inadequate which affects hemodynamics such as oxygen saturation and respiratory rate as well as complaints of fatigue. In CHF patients, position adjustment affects respiration rate, oxygen saturation, and shortness of breath. The study aims to determine the effect of orthopneic positioning on oxygen saturation, respiration rate, and fatigue in patients with CHF in IGD. This research was quantitative study with a pre experiment one group pretest posstest design approach. The sample in this study consisted of 32 respondents with quota sampling. The Wilcoxon rank test obtained a p-value <0,001, indicating the influence of orthopneic position on patients with CHF in the emergency care unit. Following the prescribed orthopneic position, the oxygen saturation value increased to 96.50%, the respiration rate increased to 21.75 times/min, and the fatigue rate remained moderate. These results demonstrate that orthopneic positions can effectively alleviate breathing difficulties and fatigue in patients with CHF because in this position it can improve respiratory muscle function and maximize the process of inspiration and expiration. The researcher suggests the implementation of orthopneic positions as an alternative to addressing problems of oxygen saturation, respiration rate, and fatigue in patients with CHF in the emergency care facility.
FAKTOR RISIKO YANG BERKAITAN DENGAN KEJADIAN KANKER PAYUDARA DI RSUD PROF. DR MARGONO SOEKARJO PURWOKERTO
Breast cancer is a malignancy that originates from the glandular cells, glandular ducts and supporting tissues of the breast, excluding the skin of the breast. Cancer can start to grow in the mammary glands, milk ducts, fatty tissue or connective tissue in the breast. According to the Every year more than 185,000 women are diagnosed with breast cancer. There are risk factors for breast cancer, including age, family history, obesity, smoking and previous history of breast cancer. This type of research is descriptive analytic using case control design. The population in this study were breast cancer patients at Prof. Dr. Margono Soekarjo Purwokerto Hospital in June–August 2023 which recorded 101 patients diagnosed with breast cancer. The sample in this study amounted to 50 in the case group and 50 samples in the control group with a total of 100 samples. Data analysis in this study was univariate and bivariate performed by calculating the magnitude of risk factors (Odd Ratio / OR). The results showed that age is a risk factor for breast cancer (OR 6.7), family history is a risk factor for breast cancer (OR 1.5), obesity is a risk factor for breast cancer (OR 6.6), smoking is not a risk factor for breast cancer (OR 1) and a previous history of breast cancer is a risk factor for breast cancer (OR 12.3).
Efektivitas Penerapan Posisi Orthopneic dalam Mengatasi Pola Napas Tidak Efektif pada Pasien Asma: Studi Kasus di Ruang Edelweiss RSUD Kardinah Tegal
Asthma is a chronic inflammatory disease of the airways characterized by airway obstruction and ineffective breathing patterns. One non-pharmacological intervention that can help improve ventilation is the orthopneic position. This study aimed to determine the effectiveness of the orthopneic position in addressing ineffective breathing patterns in asthma patients. This research employed a descriptive case study design involving a 43-year-old female patient diagnosed with asthma and experiencing shortness of breath. The orthopneic position intervention was administered for three consecutive days, with each session lasting 15 minutes in the morning. Data were collected through observations of respiratory rate and clinical symptoms. The results showed a decrease in respiratory rate from 26 breaths per minute to 20 breaths per minute, along with improvements in clinical symptoms, including reduced wheezing and decreased use of accessory respiratory muscles. In conclusion, the application of the orthopneic position is effective in reducing respiratory workload and improving ventilation in asthma patients with ineffective breathing patterns.
PENERAPAN TERAPI UAP MINYAK KAYU PUTIH PADA ANAK DENGAN BRONKOPNEUMONIA DI RSUD KARDINAH TEGAL
Bronchopneumonia is an inflammatory disease of the respiratory organs that affects several lobes in the lungs. WHO data shows that bronchopneumonia mostly affects children under 5 years old and is the biggest cause of death in children. Bronchopneumonia will generally have typical symptoms such as shortness of breath and coughing. Children under the age of five cannot remove secretions independently so they will experience problems with ineffective airway clearance and children are at high risk of experiencing shortness of breath. Efforts to overcome shortness of breath in bronchopneumonia children can be overcome by using complementary therapies, one of which is eucalyptus oil steam therapy. Eucalyptus oil is produced from the leaves of the melaleuca plant with its largest content of eucalyptol (cineole). The properties of cineole produce mucolytic effects to thin phlegm, relieve breathing, and anti-inflammatory. This study aims to determine the effect of steam therapy with eucalyptus oil on respiratory frequency in patients with bronchopneumonia. This research is an analytical descriptive research with a case study approach. The subjects were children with bronchopneumonia who experienced shortness of breath. The study was conducted by providing steam therapy using warm water mixed with 2 drops of eucalyptus oil in a container and then inhaling the steam for 10-15 minutes, with 3x24 hours of intervention. Data collection was carried out by interview, observation and documentation study. The results showed a decrease in respiratory frequency in the subject from 26x/min to 21x/min. In conclusion, steam therapy with eucalyptus oil is effective in reducing the respiratory frequency of paediatric patients with bronchopneumonia.