Jurnal Kesmas Asclepius diterbitkan oleh Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE) sebagai media informasi dan komunikasi para praktisi, peneliti dan akademisi yang berkecimpung dan menaruh minat serta perhatian pada pengembangan ilmu Kesehatan Masyarakat. Jurnal Kesmas Asclepius terbit dalam dua versi, yakni online/OJS (e-ISSN 2684-8287 ) dan cetak (p-ISSN 2656-8926)
Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)
Laporan Kasus: Leptospirosis Berat (Weil’s Disease) dengan Manifestasi Kegagalan Multi-Organ
The purpose of this study was to provide an understanding of leptospirosis so that diagnosis and treatment can be carried out quickly. This research method used a case study with a clinical approach, supporting examinations, and management of patients who were followed up during hospitalization. The results of this study indicate that early recognition of severe leptospirosis and comprehensive management are important factors in reducing mortality. The study concluded that healthcare professionals need to increase clinical awareness of leptospirosis in patients with fever, jaundice, and kidney disorders so that diagnosis and treatment can be initiated more quickly. Keywords: Leptospirosis, Multi-Organ Failure, Weil’s disease.
Copyright (c) 2025 Anggi Kumala Rosita http://creativecommons.org/licenses/by-nc/4.0
Gambaran Kebiasaan Merokok Pada Orang Tua Dengan Balita Yang Mengalami Pneumonia Di Puskesmas X
This study aims to determine the smoking habits of parents who have toddlers with pneumonia at Community Health Center X. The method used is descriptive quantitative with a total of 77 respondents selected through purposive sampling technique. The research instrument was a closed questionnaire containing 10 questions, and the data were analyzed univariately in the form of frequency distribution and percentage. The results showed that the maority of respondents were active smokers (54.4%), while the rest were passive smokers (45.5%), with most of them smoking at home and near their children. The characteristics of respondents were dominated by parents aged over 30 years, secondary education (high school), and working as self-employed. Exposure to cigarette smoke, both directly and indirectly, has been proven to be an important factor contributing to the incidence of pneumonia in toddlers. The conclusion of this study is the need to increase health education to families about the dangers of smoking in the home environment and the importance of creating a smoke-free environment as a preventive measure to protect children's health. Keywords: Pneumonia, Toddlers, Smoking.
Copyright (c) 2025 Siti Nur Hanisah, Rima Berlian Putri, Ricky Riyanto Iksan, Maria Susila Sumartiningsih http://creativecommons.org/licenses/by-nc/4.0
Hubungan Antara Motivasi Kerja Dengan Kinerja Perawat Rawat Inap Di Rumah Sakit Umum Daerah X
The purpose of this study was to determine the relationship between work motivation and the performance of inpatient nurses at Regional General Hospital X. The study design used a quantitative method with a cross-sectional approach. The study sample consisted of 88 nurses selected using a purposive sampling technique. Data were analyzed using the Chi-square test. The results showed that the majority of respondents had high work motivation (59.1%) and high performance (70.5%). The statistical test obtained a p-value of 0.000 (<0.05) with an odds ratio (OR) of 7.185, indicating a significant relationship between work motivation and the performance of inpatient nurses. It can be concluded that nurses with high work motivation have a greater chance of demonstrating optimal performance. Therefore, improving work motivation needs to be a priority in human resource management strategies in hospitals. Keywords: Nurses, Performance, Work Motivation.
Copyright (c) 2025 Febryan Padma Sari, Maria Susila Sumartiningsih, Rima Berlian Putri, Ricky Riyanto Iksan http://creativecommons.org/licenses/by-nc/4.0
HUBUNGAN INSOMNIA TERHADAP KEJADIAN HIPERTENSIPADA LANSIA DI PANTI SOSIAL TRESNA WERDHA X JAKARTA SELATAN
ABSTRAK Tujuan penelitian ini adalah teridentifikasi hubungan antara insomnia dan kejadian hipertensi pada lansia di Panti Sosial Tresna Werdha X Jakarta Selatan. Penelitian ini menggunakan metode kuantitatif dengan desain analitik cross-sectional, yaitu rancangan penelitian yang bertujuan mengetahui hubungan antara dua variabel. Populasi penelitian adalah seluruh lansia yang tinggal di Panti Sosial Tresna Werdha X Jakarta Selatan, berjumlah 288 orang. Pengumpulan data dilakukan menggunakan kuesioner Insomnia Rating Scale yang telah diterjemahkan ke dalam bahasa Indonesia oleh Kelompok Studi Psikiatri Biologi Jakarta – Insomnia Rating Scale (KSBPJ-IRS). Hasil uji statistik menggunakan Chi-Square menunjukkan nilai signifikansi p = 0,000 < α = 0,05, yang berarti terdapat hubungan yang signifikan antara insomnia dan tekanan darah. Nilai Chi-Square sebesar 35,596 dengan derajat kebebasan (df) = 1 memperkuat adanya hubungan yang sangat kuat antara kedua variabel tersebut. Dengan demikian, dapat disimpulkan bahwa terdapat hubungan antara insomnia dan kejadian hipertensi pada lansia di Panti Sosial Tresna Werdha X Jakarta Selatan. Kata Kunci : Hipertensi, Insomnia, Lansia
Copyright (c) 2025 Desi Putri Utanti http://creativecommons.org/licenses/by-nc/4.0
Penerapan Sistem Manajemen Keselamatan Dan Kesehatan Kerja (SMK3) Pada Proyek Pembangunan Jalan
This study aims to evaluate the implementation and success rate of the Occupational Safety and Health Management System “SMK3” in construction projects, referring to Government Regulation (PP) Number 50 of 2012. The method used is descriptive qualitative. The results of the analysis show that the level of implementation of “SMK3” reached 90.96% with the predicate “Satisfactory”. This indicates that the contractor has carried out the duties and functions of “SMK3” well and in accordance with regulations. The implementation of “SMK3” in this project includes several regulations, such as the use of Personal Protective Equipment (PPE) according to the type of work, calls to obey signs, maintain cleanliness, and report emergencies. In addition, this regulation also regulates hazard identification and risk assessment. Overall, it can be concluded that the implementation of “SMK3” in this project is in accordance with PP No. 50 of 2012. The satisfactory implementation of “SMK3” is able to create a safe and productive work environment. Keywords: Identification, Implementation of “SMK3”, PP No. 50 of 2012, Success Rate of SMK3.
Copyright (c) 2025 Shelly Puspita Ayu Wardhani, Kartono Wibowo, Soedarsono http://creativecommons.org/licenses/by-nc/4.0
Formulasi Coklat Batangan (Dark Chocolate) Dengan Ekstrak Kayu Manis Untuk Regulasi Gula Darah
This study aims to design a dark chocolate bar formulation with the addition of cinnamon extract as a functional food for blood sugar regulation. The research methods include formulations with varying concentrations of cinnamon extract (1%, 3%, 5%), organoleptic tests, bioactive content analysis (total phenols and flavonoids), and effectiveness tests on blood glucose levels in alloxan-induced hyperglycemic rats. The results showed that the formulation with 4% cinnamon extract had the best balance between sensory characteristics and effectiveness in reducing blood glucose levels (p<0.05). The combination of dark chocolate and cinnamon has the potential to be developed as an alternative functional food for people with type 2 diabetes mellitus. The conclusion of this study is that the formulation with 3% cinnamon extract is the most preferred sensory and has the potential to provide benefits in blood sugar regulation through the content of bioactive compounds such as cinnamaldehyde and procyanidin. This product has the potential to be developed as a functional food innovation that supports the prevention and management of type 2 diabetes mellitus, especially in community nursing practice. Keywords: Blood Sugar Regulation, Cinnamon, Dark Chocolate, Diabetes Mellitus, Functional Food.
Dark Chocolate, Kayu Manis, Regulasi Gula Darah, Pangan Fungsional, Diabetes Melitus
Copyright (c) 2025 ELIATI ELIATI, Sri Handayani, Rohani http://creativecommons.org/licenses/by-nc/4.0
Faktor-Faktor yang Berhubungan dengan Tingkat Kemandirian Anak Sekolah dalam Penerapan Perilaku Hidup Bersih dan Sehat (PHBS)
The purpose of this study was to determine the factors related to the level of independence of elementary school children in implementing clean and healthy living behaviors at MI Nururl Huda, Bengkulu City. This research method used is a descriptive analytical study design with a cross-sectional approach and is included in the type of quantitative research, the population in this study was 35 respondents of grade 2 students at MI Nurul Huda, Bengkulu City. The results of this study are univariate results obtained by students with good independence 30 respondents (85.7), students with good knowledge 30 respondents (85.7%), the unavailability of trash cans that meet the requirements 23 respondents (65.7%). The results of the bivariate analysis showed that there was no relationship between the level of independence and the level of knowledge (p-value = 0.139), and there was a relationship between attitudes and independence (p-value = 0.49), and there was no relationship between the availability of trash cans and student independence (p-value = 0.100). In the implementation of PHBS at MI Nurul Huda, Bengkulu City. The conclusion shows that there is a relationship between attitudes and the independence of school children in the implementation of PHBS at MI Nurul Huda, Bengkulu City. Keywords: Attitude, Elementary School, Healthy Life Behavior, Independence, Knowledge.
Copyright (c) 2025 Miranti Aprilia, Riska Yanuarti SKM.MKM, Afriyanto,. M.kes DPH, Wulan Angraini,. SKM.MKM http://creativecommons.org/licenses/by-nc/4.0
Pelaksanaan Program Penanggulangan Tuberkulosis Berdasarkan Peraturan Daerah
The purpose of this study was to implement a TB control program at the Wiradesa Community Health Center based on Pekalongan Regency Regulation No. 5 of 2018. The study used a descriptive qualitative method with the CIPP (Context, Input, Process, Product) evaluation model approach. Data collection techniques were through in-depth interviews and documentation. The results showed that the Context aspect was in accordance with regulations, but still faced challenges of social stigma and an unsupportive environment. In the Input aspect, trained human resources and adequate facilities were available, but limited cadres, employee rotation, limited funds, and a lack of modern detection tools were obstacles. The Process aspect showed data-based and cross-sectoral planning, but its implementation was hampered by the workload of officers, low patient awareness, and geographical constraints. Monitoring was carried out routinely every 3 months despite a lack of supervisors. The Product aspect showed fluctuating CDR and treatment success rates that had not yet reached the national target, and the detection of suspected TB tended to decrease. In conclusion, although regulations and commitments were in place, the program required strengthening human resources, diagnostic tools, anti-stigma socialization, cross-sectoral work, and adaptive funding support to achieve TB elimination. Keywords: CIPP, Program Evaluation, TB Control, Tuberculosis.
Copyright (c) 2025 Nur Nafilla, Yuniarti, Teguh Irawan, Wahyuningsih http://creativecommons.org/licenses/by-nc/4.0
Pengaruh Pemberian Senam Jantung Sehat Terhadap Tingkat Tekanan Darah Pada Lansia Hipertensi Di Karang Kulon Yogyakarta
The purpose of this study was to identify the effect of healthy heart exercise on blood pressure in the elderly. This research method used a pre-experimental design with one-group pretest–posttest design. The population in this study was 35 elderly respondents, with samples selected through total sampling techniques. The results showed that healthy heart exercise had a significant effect (p<0.05) on blood pressure in the elderly in Wukirsari, Karang Kulon Hamlet, Yogyakarta. Before the intervention, the highest systolic blood pressure was 145 mmHg (14.3% of respondents), and after the intervention it decreased to 135 mmHg (14.3% of respondents). For diastolic blood pressure, before the intervention the highest was 83 mmHg (11.4% of respondents), and after the intervention it became 80 mmHg (17.1% of respondents). Elderly with a history of hypertension are advised to regularly do healthy heart exercise to help lower or stabilize blood pressure. This conclusion is that healthy heart exercise has been proven to have a significant effect on reducing systolic and diastolic blood pressure in the elderly. This intervention can be an effective non-pharmacological alternative for controlling blood pressure in the elderly, particularly those with a history of hypertension. Therefore, healthy heart exercise is recommended as part of a daily routine for seniors to maintain stable blood pressure and improve quality of life. Keywords: Healthy Heart Exercise, Hypertension.
Copyright (c) 2025 Arfani Dwi Kunia Akbar, Hamudi Prasestiyo, Istiqomah, Dwi Suryani http://creativecommons.org/licenses/by-nc/4.0
Perbedaan Pengaruh Aerobic Low Impact Exercise dan Gaze Stability Exercise terhadap Keseimbangan Dinamis
This study aims to determine the differences in the effects of the two exercises on the dynamic balance of the elderly. The research method uses a 2-group quasi-experimental design with a "pre-test - post-test" design. A total of 40 elderly people at BPSTW Budi Luhur, Bantul Regency were divided into two groups, namely Aerobic Low Impact Exercise and Gaze Stability Exercise. The results of this study from the hypothesis test 1 using Wilcoxon showed a score of p = 0.000 (p <0.05), which indicates that there is a significant effect of Aerobic Low Impact Exercise. The results of the hypothesis test 2 with a paired sample t-test showed p = 0.000 (p <0.05), there is an effect of gaze stability on dynamic balance in the elderly. The results of the Independent sample t-test showed a score of p = 0.000 (p <0.05) indicating that there is a significant difference between Aerobic Exercise and Gaze Stability Exercise on improving dynamic balance in the elderly at BPSTW Budi Luhur. The conclusion shows that Aerobic Low Impact Exercise and Gaze Stability Exercise both have an effect on improving dynamic balance in the elderly. However, Gaze Stability Exercise has a significant effect compared to Aerobic Low Impact Exercise. Keywords: Aerobic Low Impact Exercise, Dynamic Balance, Gaze Stability Exercise, Elderly.
Copyright (c) 2025 Ishela Apriyani, Siti Nadhir Ollin Norlinta, Suci Muqodimmatul Jannah
Model Evaluasi CIPP pada Program Pemberantasan Sarang Nyamuk Demam Berdarah Dengue
This study aims to determine the extent to which the implementation of the PSN program is in accordance with the planned objectives and whether the program can control the breeding of mosquito larvae so that it can reduce the number of DHF cases. This study uses a qualitative method with a descriptive analytical approach. The CIPP evaluation model is used to evaluate the context, input, process, and product to determine the success of the PSN program. Information was obtained from twelve informants recruited by purposive sampling. The results of the research data were collected in the form of interviews, observations, and document reviews to evaluate the Dengue Fever Mosquito Nest Eradication (PSN) program in Palembang City in 2022. In general, the PSN program has been running well but is still constrained by the budget. In addition, there is no SOP related to mosquito nest eradication and community participation is still lacking. The conclusion of this study is that the Palembang City Health Office uses the results of this study as a basis for determining budget allocations for mosquito nest eradication programs and compiling SOPs for mosquito nest eradication to facilitate the implementation of the program, by increasing coordination, participation, and community empowerment to carry out village competitions free of mosquito larvae and provide awards for villages that have been declared free of mosquito larvae by the Health Center to encourage community participation in mosquito nest eradication. Keywords: Aedes Mosquito, CIPP Evaluation, Dengue Hemorrhagic Fever, PSN.
Copyright (c) 2025 Galuh Ismayanti http://creativecommons.org/licenses/by-nc/4.0
Efektivitas Pendekatan Manajemen Diri pada Individu yang Mengalami Stroke
The study aims to assess the effectiveness of self-management carried out in post-stroke patients. This research method uses a systematic literature search from several online databases. The results of the study showed that from the five articles that have been reviewed, the level of education, health education, food intake, exercise and rehabilitation, sleep, and psychological intervention are the main factors of self-management behavior in stroke patients in the recovery stage. Self-management interventions can effectively improve the level of health education of stroke patients, help them gain confidence in self-management of the disease, and facilitate the formation of effective patient self-management behaviors, to improve the quality of life and subjective well-being of patients. In conclusion, self-management can be an alternative solution for stroke patients in improving post-stroke recovery. Self-management interventions include specific education about stroke and its effects and focus on skills training to increase active enthusiasm for patient treatment management. Keywords: Self-Management, Stroke, Treatment.
Pengetahuan Ibu dan Dukungan Suami terhadap Rendahnya Penggunaan Kontrasepsi Intra Uterine Device (IUD)
The purpose of this study was to determine the relationship between maternal knowledge and husband's support with the use of Intra Uteri Device (IUD) contraception in the Bumi Nabung Health Center work area, Central Lampung Regency in 2024. This research method is a quantitative analytical study with a Cross Control approach. The population in this study were all Active KB Acceptors in the Bumi Nabung Health Center work area totaling 4,162, with a sample size of 192 acceptors consisting of 96 IUDs and 96 non-IUDs. Data collection using a questionnaire sheet. Univariate data analysis using frequency distrIbution, bivariate analysis using Chi Square. The results of the study showed that the frequency distrIbution of age characteristics was mostly >35 years (50.5%), multiparous parity (81.3%), secondary education (47.7%) and housewives (51%). Knowledge was mostly poor (54.2%), while IUD users were sufficient (67.7%). Non-IUD husband support was not supportive (68.8%), while IUD users received support from their husbands (70.8%). There is a significant relationship between maternal knowledge and the use of IUD contraception with a p value of 0.004 and an OR value of 2.478. There is a significant relationship between husband's support and the use of IUD contraception with a p value of 0.000 and an OR value of 5.343. From the results of the study, it can be concluded that the health center can prepare a health promotion program related to the use of IUDs according to the characteristics of mothers in their work area. Keywords: Husband Support, IUD, Knowledge.
Copyright (c) 2025 Sri Nowo Retno, Tris Murning Wati, Yuni Sulistiawati, Septika Yani Veronica
Tinjauan Post Operative Cognitive Dysfunction (POCD) pada Pasien Geriatri Pasca Anestesi: Perspektif Klinis
This study aims to determine the incidence and characteristics of POCD in geriatric patients’ post-anesthesia at RSUP Prof. Dr. I.G.N.G. Ngoerah using a descriptive prospective method. The results showed a POCD incidence rate of 60.5%, highest among patients aged ≥70 years. Females experienced POCD more frequently (77.8%) than males (48%). POCD was most prevalent among respondents without formal education (100%). The highest incidence was found in oncology, trauma, and vascular surgeries. Based on duration, the highest POCD occurrence was in medium-duration surgeries (71.4%), followed by major (60%) and minor surgeries (50%). General anesthesia showed a higher POCD incidence (63.6%) compared to regional anesthesia (57.1%). The conclusions of this study emphasize the importance of focusing on geriatric patients, especially those aged ≥70 years, females, and certain surgery types. The implications of this study emphasize the need for safer anesthesia protocols and personalized recovery strategies to reduce the risk of POCD. Keywords: Geriatric, POCD, Post-Anesthesia.
Copyright (c) 2025 Anak Agung Pranikencana Darma Putri, I Made Agus Kresna Sucandra, Pontisomaya Parami
Penerapan Komunikasi IPE pada Metode Handover (SBAR)
The purpose of the case study is to find out the communication in daily life between nurses and nurses and nurses with other health teams. The method used was observation of the room situation and involved one patient and FishBone diagram analysis. The results of the study found that nurses have not applied the SBAR handover method optimally because nurses still use SOAP records in handing over patients. IPE communication involves many different health professions working together, with the aim of enhancing interprofessional collaboration. The conclusion is that the situation that occurred, nurses have not fully implemented the SBAR handover method, so it needs to be optimized. Keywords: Interpersonal Communication (IPE), SBAR.
Copyright (c) 2025 Septian Christi Malega, Fransiska Kurnia http://creativecommons.org/licenses/by-nc/4.0
Pengaruh Pemberian Massase Punggung terhadap Penurunan Skala Nyeri pada Pasien Post Appendiktomi Rumah Sakit X
The purpose of this case study is to determine the effect of back massage therapy on reducing pain scale in post-appendectomy patients at Hospital X. The method used is a case study with nursing intervention in the form of back massage in two post-appendectomy patients. The results and conclusions of the observations indicate that back massage therapy can be given to patients with mild pain scale, and is not effective for patients with severe pain. This therapy is successful in patients with moderate and mild pain scale, which is characterized by feelings of relaxation and comfort felt by the patient. Based on the research results, it can be concluded that to reduce pain in post-appendectomy patients, in addition to using back massage, pharmacological therapy also needs to be applied. This has proven effective in reducing pain, as seen in the evaluation of Ms. S and Ms. A. Keywords: Appendicitis, Back Massage, Pain.
Copyright (c) 2025 Bernardina Antonia Fenenturuma, Yovita Yovita http://creativecommons.org/licenses/by-nc/4.0
Faktor-Faktor yang Berhubungan dengan Mual Muntah pada Pasien Kanker Serviks
Tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan mual muntah pada pasien kanker serviks. Metode penelitian observasi partisipatif deskriptif korelasi. Teknik sampel purposive sampling pada 47 responden. Hasil menunjukkan usia p value 0.004 (P< 0,05), correlation coefficient 1.000 terdapat hubungan sangat kuat. Tingkat pendidikan p value 0.000 (P < 0,05), correlation coefficient -.410, terdapat hubungan sedang antara tingkat pendidikan dengan mual muntah kanker serviks, arah korelasi negatif (-0.410). Stadium kanker p value 0.854 (p> 0,05), correlation coefficient -.028, terdapat hubungan lemah antara stadium kanker dengan mual muntah kanker serviks arah korelasi negatif (-0.028). Mual muntah p value 0.089 (p> 0,05), correlation coefficient .251, terdapat hubungan lemah antara mual muntah dengan kanker serviks arah korelasi positif (0, 251). Status pekerjaan p value 0.000 (p< 0,05) terdapat hubungan signifikan antara status pekerjaan dengan mual muntah kanker serviks. Simpulan mual muntah pada kanker serviks dipengaruhi oleh usia dan pendidikan. Penelitian ini diharapkan dapat dijadikan reference penelitian selanjutnya dengan menambah variabel kanker serviks. Kata Kunci: Kanker Serviks, Mual Muntah
Copyright (c) 2024 Dyah Nurita Hany, Anis Ardiyanti
Pengaruh Air Perasan Jeruk Nipis terhadap Mortalitas Kutu Rambut (Pediculus Humanus Capitis) pada Santriwati di Pondok Pesantren
Tujuan penelitian ini yaitu untuk menganalisis perbedaan mortalitas kutu rambut pada kelompok eksperimen dan kelompok kontrol pada santriwati di Pondok Pesantren Al–Falah Daerah Utara Karanghajo Silo Jember. Metode Penelitian menggunakan design Pre eksperimen dengan rancangan Intac Group Comparison Design. Jumlah populasi sebanyak 145 santriwati dengan sampel 30 responden dengan masing–masing 15 responden pada kelompok eksperimen dan kontrol. Teknik yang digunakan yaitu Quota sampling dan analisis data menggunakan Uji Mann – Whitney U. Hasil penelitian mortalitas kutu rambut setelah diberikan intervensi pada tanggal 15 Juni 2024 yaitu pada kelompok eksperimen didapatkan hampir seluruhnya kutu rambut mati setelah diberi air perasan jeruk nipis, yaitu 12 reponden (80%) dan kelompok kontrol didapatkan seluruhnya kutu rambut hidup setelah diberi air hangat, yaitu 15 responden (100%). Analisa hasil Uji Mann – Whitney U dengan p < 0,05 didapatkan p < 0,05 = 0,000 artinya terdapat perbedaan yang signifikan. Kandungan senyawa limonoid di dalamnya berperan sebagai insektisida alami. Aroma khas, rasa yang sedikit pedas dan pahit berguna sebagai penolak serangga. Sehingga peneliti memanfaatkan jeruk nipis untuk mengoptimalkan pengobatan non farmakologi pada penderita kutu rambut dandapat menjadi solusi alami yang efektif dan aman. Kesimpulan studi ini ada pengaruh penggunaan air perasan jeruk nipis terhadap mortalitas pediculus humanus capitis pada santriwati pondok pesantren. Kata Kunci: Jeruk Nipis, Kutu Rambut, Santriwati
Copyright (c) 2024 Prawito prawito, Ike Fitriatus Solehah, Najah Soraya Niah, Sylvie Puspita
Analisis Asuhan Keperawatan Efektivitas Teknik Relaksasi Benson dalam Menurunkan Nyeri Akut pada Pasien Dengan HNP (Hernia Nucleus Pulposus) di Rumah Sakit X
Tujuan penelitian ini merupakan studi kasus penerapan Teknik Relaksasi Benson dalam menurunkan nyeri akut pada pasien dengan HNP (Hernia Nucleus Pulposus) di RS X. Metode penelitian ini menggunakan desain studi kasus adalah deskriptive study, dari intervensi yang dilakukan peneliti dalam melakukan asuhan keperawatan nyeri akut pada klien Hernia Nucleus Pulposus dengan memberikan teknik non farmakologis yaitu teknik relaksasi benson selama 3 kali dalam seminggu, ditemukan dengan bukti skala nyeri klien menurun. Berdasarkan hasil yang diperoleh, Teknik relaksasi benson cukup efektif untuk mengurasi rasa nyeri akut pada pasien Hernia Nucleus Pulposus. Simpulan penelitian bahwa penatalaksanaan melibatkan pendekatan pengobatan non-farmakologis. Hasil dari pendekatan non-farmakologis teknik relaksasi Benson membuat kecepatan ritmis dan faktor kesehatan serta keyakinan, serta efektif mengelola pasien HNP (Hernia Nukleus Pulposus). Kata Kunci: HNP, Nyeri, Teknik Relaksasi Benson.
Copyright (c) 2024 Syifa Lutfillah, Yovita DS
Efektivitas Mouthcare dengan Clorhexidin terhadap Pencegahan VAP pada Pasien dengan Bantuan Ventilasi Mekanik
Penelitian ini bertujuan untuk mengevaluasi efektivitas mouthcare dengan Chlorhexidine dalam mencegah VAP pada pasien yang menggunakan ventilasi mekanik. Penelitian ini menggunakan metode tinjauan literatur sistematis dari berbagai studi yang relevan. Hasil analisis menunjukkan bahwa penggunaan Chlorhexidine secara signifikan dapat mengurangi kejadian VAP. Selain itu, Chlorhexidine terbukti efektif dalam menurunkan jumlah koloni bakteri di rongga mulut, yang merupakan sumber utama patogen penyebab VAP. Oleh karena itu, penerapan mouthcare dengan Chlorhexidine dapat direkomendasikan sebagai bagian dari protokol pencegahan VAP pada pasien yang menerima ventilasi mekanik, sehingga dapat meningkatkan hasil klinis dan mengurangi beban perawatan di rumah sakit. Simpulan penggunaan Chlorhexidine 0,2% lebih efektif dalam mengurangi kolonisasi bakteri di mulut dan faring dibandingkan dengan konsentrasi yang lebih rendah. Kata Kunci: Chlorhexidine, Mouthcare, Pencegahan Infeksi, Ventilator-Associated Pneumonia (VAP), Ventilasi Mekanik.
Copyright (c) 2024 Nurhayati Nurhayati, Maria Astrid
Pengaruh Tindakan Suction terhadap Saturasi Oksigen pada Pasien NSTEMI dengan Ventilator
Penelitian ini bertujuan untuk mengetahui pengaruh tindakan suction terhadap kadar saturasi oksigen pada pasien Serangan Jantung Ringan (NSTEMI) dengan ventilator. Metode studi kasus dengan membandingkan pasien pertama dan pasien kedua. Dan di dapatkan hasil bahwa tindakan suction dengan memberikan oksigenasi terlebih dahulu mempunyai hasil saturasi oksigen yang lebih baik dibandingkan dengan tidak memberikan oksigenasi sebelum tindakan suction. Simpulan penelitian ini bahwa tindakan suction digunakan untuk membantu menjaga tekanan darah tetap normal dan memastikan tekanan darah yang lebih baik untuk mencegah kerusakan otot jantung dan mencegah henti jantung. Kata Kunci: Kadar Saturasi, NSTEMI, Pre Oksigenasi, Suction.
Copyright (c) 2024 Intan Kristinasari Sihombing, Maria Astrid
Perbandingan Kualitas Hemodialisis pada Pasien yang Rutin Melakukan Dialisis dengan Hemodialisis Konvensional dan Hemodiafiltrasi
Tujuan penelitian ini melihat perbandingan kualitas Hemodialisis dari pasien dengan Hemodialisis konvensional dan Hemodiafiltrasi. Studi ini merupakan laporan kasus dua pasien yang telah rutin menjalani terapi hemodialisis dimana P1 dengan HDF dan P2 dengan HD konvensional. Dilakukan pengamatan usia, tekanan darah, nadi, keluhan yang dirasakan selama dialisis dan nilai KT/v pada saat dialisis. Hasil dari studi ini menunjukkan bahwa tekanan darah P1 lebih stabil selama menjalani HDF dan sedangkan tekanan darah P2 mengalami peningkatan tekanan darah selama HD, tidak ada perbedaan yang berarti pada nadi, keluhan dan nilai KT/v. Studi ini masih terbatas, masih banyak hal yang dapat dinilai seperti nilai Hb, Ureum, kreatinin, fosfat. Dapat disimpulkan HDF sangat disarankan pada pasien dengan kondisi mengalami episode hipertensi intradialisis. Kata Kunci: Hemodiafiltrasi, Penyakit Ginjal Kronik, Tekanan Darah.
Copyright (c) 2024 Yuli Verawati, Maria Astrid
Ketepatan Penegakan Diagnosa Keperawatan pada Pasien DHF
Tujuan penelitian ini untuk menganalisa ketepatan diagnosa keperawatan pada salah satu pasien dengan DHF di Rumah Sakit X. Metode yang digunakan pengamatan kasus, wawancara kepada kepala ruangan, observasi dokumentasi keperawatan melalui EMR dan analisa Fish Bone. Hasil pengamatan kasus didapatkan ketepatan penegakan diagnosa keperawatan belum sepenuhnya optimal dikarenakan motivasi perawat yang kurang untuk membaca kembali terkait dengan standar asuhan keperawatan pasien DHF yang tersedia di unit. Simpulan penelitian bahwa penerapan ketepatan penegakan diagnosa keperawatan pasien TN. D dengan diagnosa medis DHF sudah sesuai SDKI namun belum sepenuhnya optimal. Melalui fungsi directing dengan kegiatan supervisi, motivasi, bimbingan, pelatihan, seminar ataupun DRK dilakukan oleh manajer keperawatan dapat membantu meningkatkan kompetensi dari segi pengetahuan, sikap dan perilaku dalam kewenangannya menegakkan diagnosis keperawatan. Kata Kunci: Ketepatan Diagnosa Keperawatan, SDKI.
Copyright (c) 2024 rebeka paulina werang, Maksi Baok, Catharina Dwiana Wijayanti, Contriana Yusinta Bere
Case Report: Penerapan Intervensi Teknik Flushing Post Pemberian Obat Injeksi untuk Mencegah Terjadinya Phlebitis pada Pasien yang Dirawat di Rumah Sakit
The aim of this case study is to determine the effectiveness of the flushing technique in preventing Phlebitis in clients.This research used a case study method by conducting surveys and observations on 4 samples of post-operative patients with similar patient age characteristics. The flushing technique used is flushing 10 mL of 0.9% NaCl fluid. When the patient receives an injection of medication the nurse performs the Flushing Technique. The instrument used is observation. The results of the study showed that of the 4 samples of patients who underwent the same intervention with patient characteristics that were not much different, 1 of them experienced signs of Phlebitis, therefore the flushing technique can be used to prevent the occurrence of Phlebitis in patients. It was found that 1 patient who underwent the flushing technique experienced a decrease in the degree of Phlebitis, the infusion flow was smooth. The conclusion of this case study shows that the flushing technique is effective in preventing Phlebitis. Keywords: Flushing Technique, Patient Characteristics, Phlebitis.
Copyright (c) 2025 Tri Artiati Astuti, Kurnia Ayu Dewi Kinasih, Dewi Prabawati http://creativecommons.org/licenses/by-nc/4.0
Analisis Asuhan Keperawatan pada Klien dengan Penyakit Jantung Koroner Post Percutaneus Coronary Intervention melalui Pemberian Kompres Dingin di RS
This study aims to provide an overview of the results of the Analysis of Nursing Care for Clients with Post PCI Coronary Heart Disease with Hematoma Risk Problems Through Cold Compresses at Hospital X. The respondents in this study were 2 patients with a medical diagnosis of Post PCI who were treated in the 7th Floor Intensive Care Unit in June 2024. This study uses a comparative description method with the nursing interventions given, namely cold compresses at the post PCI incision site. The results obtained were that in patient Mr. T there was no widespread bleeding on the second day in the post PCI incision wound and for the second patient Mr. D there was a hematoma in the previous post PCI incision wound but it did not spread on the second day after the cold compress was performed. It is expected to be used as data in making appropriate policies to improve the update of Standard Operating Procedures in the management of post PCI incision wounds in patients. The conclusion of the study is that the application of cold compresses using ice bags and ice bags carried out for 15-20 minutes after PCI can reduce pain and prevent hematoma. Keywords: Cold Compress, Coronary Heart Disease, Hematoma.
Copyright (c) 2025 Danang Kembar Widayat http://creativecommons.org/licenses/by-nc/4.0
Hubungan Kinerja Rekam Medis Elektronik (Metode Pieces) terhadap Efektivitas Penggunaan Rekam Medis Elektronik di Rumah Sakit
Tujuan dari penelitian ini adalah mengetahui hubungan kinerja system rekam medis elektronik dan efektivitas penggunaan rekam medis elektronik di rumah sakit. Metode penelitian ini ialah penelitian kuantitatif dengan pendekatan cross sectional. Sampel dalam penelitian ini ialah seluruh tenaga kesehatan yang menggunakan rekam medis elektronik. Instrumen yang digunakan ialah lembar angket dan pengukuran menggunakan skala likert Analisis data yang digunakan adalah analisis univariat dan bivariate dengan menggunakan uji Chi-Square. Hasil penelitian diketahui bahwa hasil uji Chi-Square terdapat hubungan langsung antara variable kinerja system rekam medis elektronik dengan efektivitas penggunaan rekam medis elektronik di Rumah Sakit Islam Gunungkidul tahun 2024 dengan (p-value 0.027<α 0.05). Simpulan dari penelitian ini adalah ada hubungan signifikan antara kinerja system rekam medis elektronik dengan efektivititas penggunaan rekam medis di RSI Gunungkidul Tahun 2024. Kata Kunci: Kinerja, Model Pieces, Rekam Medis Elektronik
Copyright (c) 2024 Nannyk Widyaningrum, Ceri Febila Sari, Farah Adiba Nuraini
Perilaku Pengobatan Pasien TBC Berdasarkan Teori Health Belief Model: Literatur Review
Tujuan penelitian ini untuk mengkaji perilaku pengobatan pasien TBC berdasarkan teori Health Belief Model. Metode penelitian ini dengan penelusuran artikel-artikel berbahasa Indonesia dan bahasa inggris yang tersedia pada database online antara lain Google Scholar, Pubmed dan Science Direct dikaji dan dipilih artikel yang paling relevan dengan topik. Kata kunci yang sesuai dengan tujuan penelitian dan memenuhi kriteria inklusi ditentukan dan digunakan saat mencari artikel pada database di atas. Hasil penelitian ini yaitu artikel dipilih karena sesuai tujuan penelitian dan kriteria inklusi. Sebagian besar penelitian yang menggunakan teori HBM mengungkapkan bahwa terdapat hubungan antara komponen HBM dengan perilaku pengobatan pasien TBC. Penelitian Fitriani dan Dwijayanti, (2023) menggunakan teori HBM menemukan bahwa terdapat hubungan antara semua komponen dalam HBM dengan kepatuhan pengobatan pasien TB. Kesimpulan penelitian ini yaitu bahwa perilaku pengobatan pasien TBC dapat dianalisis secara komplek dengan teori Health Belief Model antara lain Perceived susceptibility, Perceived severity, Perceived threat, Perceived benefit, Perceived barriers, Self-efficacy dan Cues to action. Kata Kunci: Pasien TBC, Perilaku Pengobatan, Teori HBM.
Copyright (c) 2024 Muhammad Ariq Hotip, Sri Widati
Penerapan Kompres Hangat terhadap Penurunan Nyeri Punggung pada Ibu Hamil Trimester III
Tujuan penelitian untuk mengetahui pengaruh penerapan kompres hangat terhadap penurunan nyeri punggung pada Ibu hamil trimester III. Metode penelitian yaitu penelitian deskriptif dengan pendekatan studi kasus (case study) atau juga disebut penelitian lapangan (field study). Penelitian di lakukan PMB Rohayati, S.Tr.Keb periode bulan Oktober sampai bulan Desember tahun 2023. Subjek dalam penelitian ini berjumlah 9 orang Ibu hamil trimester III yang mengeluh nyeri punggung. Instrumen penelitian ini menggunakan lembar observasi yaitu Numeric Rating Scale (NRS). Hasil asuhan kebidanan ini menunjukkan bahwa terdapat penurunan intensitas nyeri punggung Ibu hamil trimester III setelah dilakukan kompres hangat. Simpulan penelitian ini adalah penerapan kompres hangat dapat menurunkan intensitas nyeri punggung pada Ibu hamil trimester III. Kata Kunci: Farmakologi, Kehamilan, Kompres Hangat, Nyeri Punggung
Copyright (c) 2024 Lutfi Aini Rofiqoh, Inggit Primadevi, Yunita Ashari, Endang Trisnawati
Pengaruh Pemberian Intervensi Senam Hipertensi pada Lansia yang Mengalami Hipertensi
Penelitian ini dilakukan untuk menganalisis pengaruh terapi senam hipertensi dalam menurunkan tekanan darah lansia yang mengalami hipertensi. Metode yang digunakan dengan studi kasus meliputi pengkajian, analisa data, diagnosa keperawatan, merencanakan intervensi, implementasi, dan evaluasi. Studi kasus ini dilakukan selama 4 minggu dengan 6 kali pemantauan. Pemberian intervensi pada kasus ini menggunakan demonstrasi terapi senam hipertensi secara langsung pada lansia penderita hipertensi. Hasil uji T Test didapatkan perbedaan tekanan darah sebelum dan sesudah diberikan intervensi senam hipertensi dengan nilai p value < 0.05. Hasil T test menunjukkan nilai sistolee yaitu 0.000 lebih kecil dari nilai alpha (p value >0.05) dan nilai diastole didapatkan nilai 0.018 lebih kecil dari nilai alpha (p value >0.05). Senam hipertensi dapat dilakukan oleh penderita hipertensi sebanyak 3 kali dalam seminggu. Kata Kunci: Hipertensi, Lansia, Senam Hipertensi.
Copyright (c) 2024 Elsa Juniarti Ginting, Maria Evelyne Ruth Dwiningthyas, Shelsy Aritonang, Chatarina Indriati Kusumaningsih
Implementasi Evidence Based Nursing Practice Latihan Autogenik untuk Mengurangi Kecemasan dan Meningkatkan Kualitas Tidur
Tujuan penelitian ini untuk mengimplementasikan evidence-based nursing practice berupa latihan autogenik untuk mengurangi kecemasan dan meningkatkan kualitas tidur pada pasien kanekr limfoma yang menjalani kemoterapi. Metode studi kasus dilakukan pada enam pasien kanker limfoma yang menjalani kemoterapi. Tingkat kecemasan diukur menggunakan penilaian kecemasan Depression, Anxiety, And Stress Scales-42 (DASS-42) dan kualitas tidur diukur secara kualitatif sebelum dan sesudah intervensi. Hasil studi kasus dari penerapan Latihan Autogenik pada pasien Limfoma yang sedang menjalani program Kemoterapi menunjukan bahwa terjadi penurunan kecemasan dengan rerata skor dari 17,8 menjadi 6,5. Masalah gangguan tidur juga teratasi dari laporan pasien merasa lebih lebih baik tidurnya dari sebelum intervensi. Kesimpulan pada implementasi latihan autogenik sebagai evidence-based nursing practice efektif dalam mengurangi kecemasan dan meningkatkan kualitas tidur pada pasien kanker limfoma yang menjalani kemoterapi. Perawat onkologi dapat mempertimbangkan penggunaan teknik ini sebagai intervensi non-farmakologis. Penelitian lebih lanjut harus dilakukan dengan jumlah partisipan dengan skala yang lebih bersar serta metode penelitian lain dapat berupa RCT sebagai metode yang lebih tinggi. Kata Kunci: Gangguan Tidur, Kanker Limfoma, Kecemasan, Kemoterapi, Latihan Autogenik.
Copyright (c) 2024 Hamudi Prasestiyo, Elly Nurachmah, Tuti Nuraini