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"Kesibukan pekerjaan merupakan pola hidup tidak sehat yang menimbulkan masalah kesehatan masyarakat perkotaan khususnya bagi ibu bekerja. Adanya aktivitas berat khususnya bagi ibu bekerja dengan riwayat KPD meningkatkan risiko terjadinya KPD berulang pada periode antenatal serta menurunkan pemberian ASI eksklusif pada periode postnatal. Penulisan ini dilakukan untuk mengetahui analisis praktik klinik keperawatan masyarakat perkotaan pada ibu bekerja dengan riwayat KPD di RSUPN Dr. Cipto Mangunkusumo. Penulisan ini menjelaskan tentang asuhan keperawatan antenatal dan postnatal pada ibu bekerja dengan riwayat KPD sesuai dengan pedoman Internasional NANDA. Hasil menunjukkan bahwa ibu bekerja dengan riwayat KPD mengalami risiko infeksi pada periode antenatal serta defisit pengetahuan tentang perawatan bayi pada periode postnatal. Penulisan ini menyarankan diadakannya penyuluhan tentang perawatan kehamilan dan pemberian ASI eksklusif sebagai pendidikan kesehatan bagi ibu bekerja dengan riwayat ketuban pecah dini.

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Busy work can trigger an unhealthy life that causes health problem to urban community, especially to working mothers. Heavy work performed by working mothers with PROM history increases the risk for recurring PROM in antenatal period and decreases exclusive breastfeeding chances in postnatal period. In response to this phenomenon, this paper was conducted to get an analysis of the urban community health nursing clinical practice on working mothers with PROM history at RSUPN Dr. Cipto Mangunkusumo. This paper explains antenatal and postnatal nursing treatment for working mothers with PROM history according to NANDA International guidelines. The findings demonstrate that working mothers with PROM experiences risk of infection in antenatal period and deficient knowledge of infant care in postnatal period. This research suggests the need to run a seminar on pregnant treatment and exclusive breastfeeding as a health education for working mothers with PROM history."

"Ketuban pecah dini umum terjadi pada kehamilan preterm. Ketuban pecah dini preterm ditandai dengan pecahnya selaput ketuban sebelum usia kehamilan 37 minggu, tidak ada kontraksi, dan terasa nyeri. Ketuban pecah dini preterm merupakan penyebab umum morbiditas dan mortalitas pada ibu maupun janin. Ibu hamil bekerja yang terpapar dengan lingkungan perkotaan menjadi faktor risiko terjadinya ketuban pecah dini. Karya ilmiah akhir ners ini membahas analisa masalah keperawatan dengan konsep terkait keperawatan kesehatan masyarakat perkotaan. Implementasi keperawatan mengacu pada diagnosa keperawatan yang muncul pada saat pemeriksaan antenatal dan postnatal. Pada evaluasi keperawatan, disimpulkan bahwa edukasi kesehatan merupakan intervensi utama yang dapat meningkatkan aspek kognitif dan psikomotor klien.

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Premature rupture of membranes is common in preterm pregnancy. Preterm premature rupture of membranes characterized by rupture of the membranes before 37 weeks' gestation, no contractions, and pain. Preterm premature rupture of membranes is a common cause of morbidity and mortality in mother and fetus. Pregnant women who are exposed to working with the urban environment be risk factors for premature rupture of membranes. This final scientific paper will explain about analysis nursing problems associated with the concept of urban public health nursing. Implementation of nursing refers to nursing diagnoses that appear during antenatal and postnatal. In nursing evaluation, concluded that health education is a major intervention that can improve cognitive and psychomotor aspects of the client."

"Fraktur merupakan dampak yang paling sering terjadi akibat cedera baik yang disebabkan karena kecelakaan lalu lintas maupun disebabkan karena penyebab lain seperti terjatuh. Salah satu manifestasi klinik yang disebabkan karena fraktur adalah nyeri. Penatalaksanaan nyeri pada fraktur dapat menggunakan terapi farmakologi dan terapi non-farmakologi. Studi kasus ini menganalisis asuhan keperawatan pada pasien dengan fraktur femoral neck dengan nyeri menggunakan terapi non-farmakologi berupa teknik relaksasi napas dalam. Hasil studi kasus penggunaan teknik relaksasi napas dalam dapat menurunkan nyeri yang ditimbulkan akibat fraktur.

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Fracture is the common impact in accident that caused by traffic accident or other cause such as fall. One of clinical manifestation from fracture is pain. The pharmacology and non-pharmacological therapy can be used in pain management for the patient with fracture. This case study analizing the nursing care of patient with pain in femoral neck fracture by using non-pharmacological technique, deep breathing relaxation technique. The result of this case study show that the deep breathing relaxation technique can reduce the level of pain in patient with fracture."

"Kehamilan hidrosefalus merupakan salah satu kelainan kongenital yang dapat disebabkan karena lingkungan perkotaan. Kehamilan hidrosefalus memiliki dampak tersendiri untuk ibu dan juga keluarganya. Tujuan dari penulisan karya ilmiah akhir ini adalah untuk mendeskripsikan pelayanan keperawatan maternitas pada kehamilan hidrosefalus dalam konteks kesehatan masyarakat perkotaan. Hasil analisis pada kasus ibu dengan kehamilan hidrosefalus memiliki kecemasan terhadap bayi yang akan dilahirkan nanti. Kurang pengetahuan ibu dan keluarga mengenai hidrosefalus merupakan salah satu faktor munculnya kecemasan. Pemberian pendidikan kesehatan seputar hidrosefalus dan perawatan bayi dengan hidrosefalus dapat menurunkan kecemasan pada ibu dan keluarga.

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Pregnancy with hydrochepalus of congenital anomaly can cauese by urban environment. Pregnancy with hydrochepalus have own effect for mother and also her family. This aim of this paper is to describe maternity nursing service on pregnancy with hydrochepalus in urban area. Result analysis of pregnancy with hydrochepalus's case shows mother whose has pregnancy with hydrochepalus anxiety with his baby. One of factor that incerase anxiety of hydrochepalus is the lack of knowledge of mother and family. Giving health education about hydrochepalus and new born care of hydrochepalus will decrease level of anxiety to mother and her family."

"Ketuban pecah dini adalah pecahnya ketuban sebelum terdapat tanda mulai persalinan dan ditunggu satu jam sebelum terjadi in partu . Sebagian besar ketuban pecah dini terjadi pada kehamilan aterm lebih dari 37 minggu, sedangkan kurang dari 36 minggu tidak terlalu banyak. Manuaba. (2006). Penulisan karya ilmiah akhir ini bertujuan untuk memberikan gambaran asuhan keperawatan Pada Ny. D dengan G3 P2 A0 Pre dan Post SC dengan indikasi ketuban pecah dini. Masalah pre operasi dan post operasi ansietas, risiko infeksi, nyeri akut dan ketidakefektifan pemberian ASI. Intervensi keperawatan yang diberikan meliputi mengajarkan tehnik relaksasi nafas dalam, melakukan, pemantauan kehamilan selama proses persalinan dengan ketuban pecah dini, mengajarkan manajemen laktasi. Hasil karya ilmiah ini menyarankan institusi pelayanan kesehatan untuk memberikan asuhan keperawatan secara holistik dan komprehensif.

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Premature rupture of membranes is rupture of membranes before there are signs of labor and eagerly begin one hour before the in partu. Most of premature rupture of membranes at term pregnancy occurs in more than 37 weeks, whereas less than 36 weeks is not too much. Manuaba. (2006). Writing scientific papers end aims to provide an overview of nursing care In Ny. D with G3 P2 A0 Pre and Post SC with Indication premature rupture of membranes. Problems preoperative and postoperative anxiety, risk of infection, acute pain and ineffectiveness of breastfeeding. Nursing interventions provided include teaches deep breathing relaxation techniques, conduct, monitoring pregnancies with premature rupture of membranes during childbirth, lactation management teaching. The results of this paper suggest a health care institution to provide nursing care in a holistic and comprehensive."

"ABSTRAK Kasus HIV/AIDS dan tuberkulosis banyak diderita masyarakat perkotaan.Penyakit pada masyarakat perkotaan berkaitan dengan karakteristik lingkungandan gaya hidup masyarakat perkotaan. Kasus HIV biasanya disertai denganberbagai infeksi oportunistik. Infeksi opportunistik yang paling banyak ditemukanadalah tuberkulosis, diikuti dengan kandidiasis oral, dan diare. Masalahkeperawatan utama pada pasien dengan tuberkulosis adalah ketidakefektifanbersihan jalan napas berhubungan dengan retensi sputum. Penulisan karya ilmiahakhir ini bertujuan untuk menganalisis intervensi mandiri keperawatan berupakombinasi antara anjuran minum air putih hangat, postural drainase, dan batukefektif untuk mengatasi masalah bersihan jalan napas tidak efektif. Intervensidilakukan pada pasien HIV/AIDS dengan tuberculosis di ruang rawat penyakitdalam RSCM. Hasil dan evaluasi dari intervensi yang dilakukan yaituberkurangnya penumpukan sputum pada jalan napas pasien, sehingga pasien tidakmerasakan sesak seperti sebelumnya dan bisa bernapas lebih lega. Perawatdiharapkan dapat melakukan intervensi mandiri keperawatan berupa kombinasiantara anjuran minum air putih hangat, postural drainase, dan batuk efektiftersebut untuk membantu memperbaiki status pernapasan pasien.ABSTRACT Cases of HIV / AIDS and tuberculosis affects many urban communities. Diseases

in urban communities are related to environment and lifestyle characteristics of

urban communities. HIV cases are usually accompanied by a variety of

opportunistic infections. The most common opportunistic infections is

tuberculosis, followed by oral candidiasis and diarrhea. The main nursing

problems in patients with tuberculosis is the ineffectiveness of airway clearance

related to the retention of sputum. This final scientific thesis aims to analyze the

independent nursing intervention in the form of a combination of the

recommendation to drink warm water, postural drainage, and cough effectively to

address the problem of ineffective airway clearance. The intervention was

conducted in HIV/AIDS patient with tuberculosis in medical ward RSCM. The

result of interventions was reduced sputum buildup in the airway of the patient, so

the patient did not feel crowded as before and could breathe more easily. Nurses

are expected to conduct independent nursing interventions in the form of a

combination of the recommendation to drink warm water, postural drainage and

effective coughing to help improve patient's respiratory status. ;Cases of HIV / AIDS and tuberculosis affects many urban communities. Diseases

in urban communities are related to environment and lifestyle characteristics of

urban communities. HIV cases are usually accompanied by a variety of

opportunistic infections. The most common opportunistic infections is

tuberculosis, followed by oral candidiasis and diarrhea. The main nursing

problems in patients with tuberculosis is the ineffectiveness of airway clearance

related to the retention of sputum. This final scientific thesis aims to analyze the

independent nursing intervention in the form of a combination of the

recommendation to drink warm water, postural drainage, and cough effectively to

address the problem of ineffective airway clearance. The intervention was

conducted in HIV/AIDS patient with tuberculosis in medical ward RSCM. The

result of interventions was reduced sputum buildup in the airway of the patient, so

the patient did not feel crowded as before and could breathe more easily. Nurses

are expected to conduct independent nursing interventions in the form of a

combination of the recommendation to drink warm water, postural drainage and

effective coughing to help improve patient's respiratory status. ;Cases of HIV / AIDS and tuberculosis affects many urban communities. Diseases

in urban communities are related to environment and lifestyle characteristics of

urban communities. HIV cases are usually accompanied by a variety of

opportunistic infections. The most common opportunistic infections is

tuberculosis, followed by oral candidiasis and diarrhea. The main nursing

problems in patients with tuberculosis is the ineffectiveness of airway clearance

related to the retention of sputum. This final scientific thesis aims to analyze the

independent nursing intervention in the form of a combination of the

recommendation to drink warm water, postural drainage, and cough effectively to

address the problem of ineffective airway clearance. The intervention was

conducted in HIV/AIDS patient with tuberculosis in medical ward RSCM. The

result of interventions was reduced sputum buildup in the airway of the patient, so

the patient did not feel crowded as before and could breathe more easily. Nurses

are expected to conduct independent nursing interventions in the form of a

combination of the recommendation to drink warm water, postural drainage and

effective coughing to help improve patient's respiratory status. "