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"[ABSTRAKMasalah kesehatan masyarakat menjadi perhatian utama, khususnya bagi pelayanankesehatan. Salah satu dari masalah kesehatan yang muncul adalah penyakit infeksiseperti tetanus. Miliaria merupakan salah satu manifestasi klinis yang disebabkanoleh bakteri tetanus. Miliaria terjadi akibat dari produksi keringat yang berlebih,sehingga menyebabkan tersumbatnya kelenjar keringat pada kulit. Studi kasus yangdilakukan bertujuan untuk mengidentifikasi keefektifan virgin coconut oil (VCO)dalam mengatasi miliaria pada pasien tetanus. Metode yang digunakan adalahobservasi sebelum dan setelah pemberian. Setelah 6 hari perawatan dengan VCOmenunjukkan penurunan pada jumlah miliaria. VCO terbukti efektif untukmenurunkan miliaria. Penerapan VCO pada miliaria dari penyakit lain danmenganalisis hasil pada pasien yang berbeda penting untuk aplikasi perawatanselanjutnya.

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ABSTRACTPublic health problem is one of the major concerns, especially for health careprovider. One of the health problems that arise are infectious diseases such astetanus. Miliaria is one of the clinical manifestations caused by the tetanus bacteria.Miliaria occur as a result of excessive sweat production, causing blockage of sweatglands in the skin. The case study was carried out aiming to identify the effectivenessof virgin coconut oil (VCO) in overcoming miliaria tetanus patients. The method usedwas observation before and after administration. The result after 6 days of treatmentwith VCO showed decrease in the number of miliaria. VCO was proven effective forlowering miliary. The used of VCO in miliaria caused by other diseases and analyzedthe result is important to increase health care for patients. ;Public health problem is one of the major concerns, especially for health careprovider. One of the health problems that arise are infectious diseases such astetanus. Miliaria is one of the clinical manifestations caused by the tetanus bacteria.Miliaria occur as a result of excessive sweat production, causing blockage of sweatglands in the skin. The case study was carried out aiming to identify the effectivenessof virgin coconut oil (VCO) in overcoming miliaria tetanus patients. The method usedwas observation before and after administration. The result after 6 days of treatmentwith VCO showed decrease in the number of miliaria. VCO was proven effective forlowering miliary. The used of VCO in miliaria caused by other diseases and analyzedthe result is important to increase health care for patients. , Public health problem is one of the major concerns, especially for health careprovider. One of the health problems that arise are infectious diseases such astetanus. Miliaria is one of the clinical manifestations caused by the tetanus bacteria.Miliaria occur as a result of excessive sweat production, causing blockage of sweatglands in the skin. The case study was carried out aiming to identify the effectivenessof virgin coconut oil (VCO) in overcoming miliaria tetanus patients. The method usedwas observation before and after administration. The result after 6 days of treatmentwith VCO showed decrease in the number of miliaria. VCO was proven effective forlowering miliary. The used of VCO in miliaria caused by other diseases and analyzedthe result is important to increase health care for patients. ]"

"[ABSTRAKHirschsprung merupakan kelainan konginetal yang dapat menimbulkan gangguan eliminasi feses dan membutuhkan tindakan operasi yang disertai dengan nyeri akut pada anak. Manajemen nyeri yang tepat diperlukan untuk mengatasi respon nyeri pada anak, sehingga perlu dilakukan studi yang bertujuan untuk mengetahui pengaruh terapi musik terhadap respon nyeri anak dengan studi kasus pada satu pasien dan penilaian skor nyeri anak dilakukan dengan menggunakan skala ukur nyeri FLACC. Terapi musik dilakukan selama empat hari secara stimultan dengan durasi terapi tidak kurang dari 20 menit. Hasil studi menunjukkan bahwa terjadi penurunan skor respon nyeri anak dari 5 menjadi 3. Hasil studi juga memberikan rekomendasi bahwa perlu dilakukannya studi lebih lanjut tentang hubungan pemberian terapi musik terhadap anak dengan post operasi Duhamel dengan metode yang berbeda.

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ABSTRACTHirschsprung disease is defined as conginetal absence that causes feces elimination failure which requires sugery that characterized with acute pain among children. The appropriate pain management is required to decrease the pain, so that the study was aimed to identify effect of music therapy on post Duhamel surgery pain is required. This metodology of this study was case study on one patient and used FLACC as a pain assesment scale. Music therapy was conducted for 4 days, simultaneously, and its long duration of music therapy is not less than 20 minutes. Results showed that FLACC score decreased from 5 to 3. This study also give a recommendation that the relationship of music therapy on postoperative pain in patients with Duhamel prosedure in the hospital is required for further research with a different methodology, Hirschsprung disease is defined as conginetal absence that causes feces elimination failure which requires sugery that characterized with acute pain among children. The appropriate pain management is required to decrease the pain, so that the study was aimed to identify effect of music therapy on post Duhamel surgery pain is required. This metodology of this study was case study on one patient and used FLACC as a pain assesment scale. Music therapy was conducted for 4 days, simultaneously, and its long duration of music therapy is not less than 20 minutes. Results showed that FLACC score decreased from 5 to 3. This study also give a recommendation that the relationship of music therapy on postoperative pain in patients with Duhamel prosedure in the hospital is required for further research with a different methodology]"

"Penyakit Demam berdarah dengue (DBD) merupakan salah satu masalah kesehatan yang sering terjadi di daerah perkotaan. Pasien DBD biasanya mengalami demam tinggi selama 4 sampai 5 hari. Tanda lainnya ialah nyeri ulu hati, mual, petekie, gusi berdarah dan melena. Untuk memantau kondisi pasien perlu dilakukan pemeriksaan nilai laboratorium secara teratur. Prosedur pengambilan darah dan pemasangan infus dapat memberikan rasa nyeri pada pasien. Tujuan penulisan ini ialah melakukan analisis evidence based practice mengenai pemberian terapi madu pada anak. Hasil dari pemberian madu terbukti dapat menurunkan skala nyeri pada pasien anak yang berusia satu sampai lima tahun. Oleh karena itu, sebaiknya perawat memberikan terapi madu kepada pasien anak sebelum dilakukan tindakan invasif.

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Dengue hemorrhagic fever (DHF) is one of diseases that often occur in urban areas. DHF patients usually experience high fever for 4 to 5 days, accompanied by signs such as heart burn, nausea, petechiae, bleeding gums and melena. The result of labolatory diagnostic test related to the disease is necessary to be observed regularly. Blood sampling procedures and the procedure of setting up the intravein catheter can give pain for pediatric patients. The aim of this paper is to analyze evidence based practice on the effectiveness of honey therapy for overcome the pain. This paper proved that honey treatment is effective to lower the pain scale in pediatric patients aged one to five years. Therefore, honey therapy is necessary to be given by nurse to pediatric patient before doing invasive procedures."

"[Kanker kolorektal merupakan kondisi keganasan pada kolon dan rektum yang dapat menimbulkan masalah baik secara fisik maupun psikologis Karya ilmiah ini bertujuan untuk menggambarkan analisis praktik klinik keperawatan kesehatan masyarakat perkotaan pada pasien dengan kanker kolorektal Dalam karya ilmiah ini digunakan metode intervensi sesuai Nursing Intervention Classification dengan melibatkan satu pasien dengan kanker kolorektal Hasil analisis dari studi literatur dan intervensi yang dilakukan menunjukkan bahwa kanker kolorektal yang dapat dipicu oleh gaya hidup masyarakat perkotaan dapat menimbulkan masalah ansietas yang berdampak pada penurunan kualitas hidup pasien Teknik penurunan ansietas berupa pendidikan preoperatif dan peningkatan koping menjadi intervensi yang direkomendasikan dalam mengatasi masalah psikologis pasien dengan kanker kolorektal ;Colorectal cancer is malignant condition in colon and rectum that could cause problems in both physically and psychologically This study aimed to describe the analysis of clinical practice in urban health nursing This study used intervention methodes based on Nursing Intervention Classification which evaluated one patient The result of analysis that based on literature review and intervention indicated that colorectal cancer which could be the impact of urban community rsquo s life style could make anxiety problem and lead to decrease patient rsquo s quality of life Interventions of anxiety reduction such as teaching preoperative and coping enhancement were recommended to solve psychological problems ini patient with colorectal cancer ;Colorectal cancer is malignant condition in colon and rectum that could cause problems in both physically and psychologically This study aimed to describe the analysis of clinical practice in urban health nursing This study used intervention methodes based on Nursing Intervention Classification which evaluated one patient The result of analysis that based on literature review and intervention indicated that colorectal cancer which could be the impact of urban community rsquo s life style could make anxiety problem and lead to decrease patient rsquo s quality of life Interventions of anxiety reduction such as teaching preoperative and coping enhancement were recommended to solve psychological problems ini patient with colorectal cancer , Colorectal cancer is malignant condition in colon and rectum that could cause problems in both physically and psychologically This study aimed to describe the analysis of clinical practice in urban health nursing This study used intervention methodes based on Nursing Intervention Classification which evaluated one patient The result of analysis that based on literature review and intervention indicated that colorectal cancer which could be the impact of urban community rsquo s life style could make anxiety problem and lead to decrease patient rsquo s quality of life Interventions of anxiety reduction such as teaching preoperative and coping enhancement were recommended to solve psychological problems ini patient with colorectal cancer ]"

"Leukemia adalah proliferasi sel darah putih yang masih imatur dalam jaringan pembentuk darah. Kemoterapi merupakan salah satu pengobatan dari leukemia. Efek yang paling umum dari kemoterapi adalah mual dan muntah. Tujuan Penulisan dari karya ilmiah ini adalah untuk memberikan gambaran asuhan keperawatan pada anak yang menderita leukemia limphoblastik akut yang mengalami mual akibat kemoterapi, dengan mengaplikasikan teknik distraksi (terapi musik) untuk menurunkan rasa mual. Terapi musik yang dilakukan pada anak menunjukkan hasil rasa mual berkurang. Disarankan agar terapi musik dapat diterapkan sebagai intervensi keperawatan dalam menangani pasien yang mengalami mual akibat kemoterapi.

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Leukemia is a proliferation of white blood cells that are still in the immature blood-forming tissues. Chemotherapy is one of terapy for leukemia. The most common effects of chemotherapy are nausea and vomitting. The aim of this study to provide an overview of nursing care in children with acute leukemia limphoblastik who experience nausea due to chemotherapy, by applying the technique of distraction (music therapy). Music therapy is performed in children showed reduce nausea. It is suggested that music therapy can be applied as a nursing intervention in dealing with patients who experience nausea due to chemotherapy."

"Pembangunan fisik perkotaan yang semakin meningkat menyebabkan kejadian kecelakaan, terutama pada anak di daerah perkotaan, semakin meningkat dari tahun ke tahun. Kejadian kecelakaan ini menimbulkan berbagai masalah kesehatan, salah satunya adalah fraktur. Anak yang mengalami fraktur rentan mengalami kerusakan tumbuh kembang jika tidak diatasi segera mungkin. Salah satu manifestasi fraktur adalah nyeri akut. Karya ilmiah ini bertujuan untuk menggambarkan asuhan keperawatan pada anak yang mengalami fraktur. Karya ilmiah ini juga menerapkan terapi nonfarmakologis berupa terapi bacaan Al-Qur’an dengan media audio. Berdasarkan hasil penelitian, didapatkan hasil bahwa anak yang mengalami fraktur sering mengalami nyeri dan respon nyeri tersebut dapat dikurangi dengan mengaplikasikan terapi bacaan Al-Qur’an melalui media audio pada anak yang mengalami fraktur.

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The escalating of urban physical development cause many accidents, especially which involve children in urban areas, increase from years to years. Those accidents invoke a lot of health problems, one of the problem is fracture. Any child who gets fracture is vulnerable to experience growth damage if the problem is not handled as soon as possible. One impact of fracture is severe pain.

This thesis attempts to describe how nursing care is carried on to child who gets fracture. This thesis applies non-farmacology therapy by listening to Al-Qur’an recitation on audio media. Based on the research, any child who gets fracture tends to experience severe pain and such pain can be decreased by applying Al-Qur’an recitation therapy through audio media to the child."

"ABSTRAKPerubahan gaya hidup masyarakat perkotaan dapat meningkatkan risiko diabetes melitus yang berpengaruh terhadap terjadinya luka dan mengakibatkan luka cepat memburuk dan sulit sembuh. Luka tekan merupakan kondisi akibat dari tekanan pada daerah tertentu dalam jangka waktu yang cukup lama. Karya ilmiah ini bertujuan menggambarkan efektifitas perawatan luka dengan balutan lembab (moist) dan pencegahan risiko luka tekan dengan skala Braden, menggunakan metode studi kasus. Perawatan luka dengan konsep moist, dan pencegahan risiko luka tekan dengan menggunakan skala Braden terbukti efektif dalam perawatan luka tekan serta membantu mempercepat proses penyembuhan luka diharapkan menjadi upaya yang perlu dipertimbangkan dalam manajemen dan penangan luka tekan.

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ABSTRACTLifestyle changes in urban community could increase the risk of diabetes mellitus that caused a wound and make in faster wound deteriorating and difficult to heal. Pressure ulcer is caused by prolonged pressure in certain areas. The aim of this paper was to describe the effectiveness of moist wound care and prevention of pressure ulcer risk using Braden scale. The concept of moist wound care, and prevention the risk of pressure ulcer using the Braden scale proved to be effective in the treatment of pressure ulcer and help accelerate the wound healing process. Wound care with moist concept and prevention using Braden scale should be addressed for pressure ulcer management."

"Fraktur merupakan salah satu masalah perkotaan akibat cedera fisik. Penatalaksanaan fraktur patologis cukup kompleks dan mengakibatkan imobilisasi yang lama. Tingkat kemampuan mobilisasi pasien pasca total hip replacement dapat ditingkatkan melalui therapeutic exercise yang meliputi latihan range of motion, angkle pump, quads statis dan gluteal statis, serta latihan ambulasi menggunakan alat bantu yang telah diajarkan selama masa rawat. Hasil latihan menunjukkan meningkatnya kemampuan mobilisasi secara bertahap dan aman. Therapeutic exercise merupakan latihan efektif untuk meningkatkan mobilisasi dan mendukung ambulasi. Perawat perlu meningkatkan pengetahuan dan kemampuan melakukan therapeutic exercise untuk meningkatkan mobilisasi dan dibarengi peningkatan status kesehatan dengan perbaikan masalah kesehatan pasca THR.

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The most frequent problem of urban health is fractures due to physical injuries. The management of pathological fracture is complex and leads to prolong immobilization. Patients ability level after total hip replacement surgery can be enhanced by therapeutic exercise that includes range of motion, ankle pump, quads and gluteal static exercise, and ambulatory exercises using walker in rehabilitation phase while hospital stays.

The results of exercise show patients ability had increased gradually and secure to perform mobilizations. Therapeutic exercise is an effective exercise to improve mobilization and support ambulation. Nurses need to improve their knowledge and ability to perform therapeutic exercise as treatment of mobilization and be accompanied by improved patient health status from potential health problems after total hip replacement."

"Analisis Implementasi Asuhan Keperawatan dengan Pendekatan Keperawatan Kesehatan Masyarakat Perkotaan dan Intervensi Hipnosis pada Pasien Diabetes Mellitus Tipe 2 dengan Gangguan Pola Tidur di Ruang Rawat Inap Lantai 6 Utara Gedung Teratai RSUP Fatmawati rdquo;Angka kejadian diabetes melitus meningkat setiap tahunnya. Neuropatik merupakan komplikasi tersering diabetes melitus yang ditandai dengan adanya nyeri yang memburuk pada malam hari sehingga menyebabkan masalah gangguan tidur. Intervensi yang dapat digunakan untuk mengatasi gangguan tidur adalah terapi hipnosis. Hipnosis adalah proses membimbing klien untuk relaks. Karya ilmiah ini bertujuan memberikan gambaran asuhan keperawatan pada pasien DM dengan gangguan pola tidur akibat nyeri neuropati dengan intervensi Hipnosis. Intervensi ini diterapkan selama 3 hari dengan durasi 20 menit. Hasil evaluasi didapatkan adanya peningkatan kualitas tidur. Oleh karena itu intervensi hipnosis ini sangat direkomendasikan untuk diterapkan di pelayanan keperawatan. Kata Kunci : Diabetes mellitus, neuropati, tidur, hipnosis

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Analysis of Urban Health Clinical Nursing Practice on Type 2 Diabetes Mellitus Patient Who Experience sleep patterns Disruption through Hipnosis Intervention in 6th North Floor Fatmawati Central General Hospital rdquo The incidence of diabetes mellitus is always increasing every year. Neuropathic is a common complication of diabetes mellitus that characterized by pain which worsened at night and causing sleep problems. One of the interventions that can be used to treat sleep disorders is hypnosis therapy. Hypnosis is the guiding processthat help client to relax. This paper aims to provide an overview of nursing care in diabetic patients with sleep disorders due to neuropathy pain with hypnosis intervention. This intervention is applied for 3 days and the duration of interventionis 20 minutes. The result shows a good improvements in the sleep quality of the patient. Therefore hypnosis therapy intervention is highly recommended to be applied in nursing services. "

"Mobilisasi dini pasca operasi merupakan salah satu intervensi yang penting pada periode pasca operasi yang dapat mempersingkat hari rawat LOS dan mencegah komplikasi post operasi. Namun demikian, mobilisasi pasca operassi merupakan elemen asuhan keperawatan yang kadang terlupakan. Tujuan penulisan adalah untuk menganalisis intervensi program mobilisasi dini pada klien Ny.S 60 tahun dengan lumbal spinal stenosis L4-L5 pasca operasi dekompresi dan pemasangan TLIF Transforaminal Lumbar Interbody Fusion dengan riwayat hipertensi, obesitas dan foot drop dextra. Intervensi dilakukan selama lima hari perawatan yang meliputi edukasi kesehatan, latihan kekuatan otot, mobilisasi di tempat tidur, hingga mobilisasi jalan dengan menggunakan walker. Hasil pelaksanaan intervensi adalah kemampuan klien dalam mobilisasi meningkat yang ditunjukan dengan pencapaian 6 dari 8 skor JH-HLM John Hopkins Highest Level of Mobilty yaitu klien mampu berjalan lebih dari 10 langkah dalam 5 hari perawatan. Selain itu, kondisi umum klien meningkat yaitu secara fisik meliputi: klien lebih aktif untuk merubah posisi dan bergerak, keluhan nyeri dan kelelahan jarang, mengatakan lebih nyaman dan tubuhnya tidak kaku ; emosional meliputi: mood tampak baik, kecemasan untuk mobilisasi minimal, kooperatif dalam program mobilisasi , dan sosial meliputi: peningkatan tingkat kemandirian klien untuk mobilisasi, keluarga berpartisipasi aktif dalam mendukung dan mendampingi klien dalam program mobilisasi. Hasil analisis menunjukan bahwa intervensi program mobilisasi dini pasca operasi berdampak positif terhadap hasil perawatan pasca operasi klien sehingga perlu menjadi prioritas dalam asuhan keperawatan pasca operasi.

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Early postoperative mobilization is one of the most important interventions in the postoperative period that can shorten length of stay LOS and prevent postoperative complications. However, postoperative mobilization is the most frequently overlooked element of nursing care. The purpose of the writing was to analyze the early mobilization program on the Ny.S 60 years old client with Lumbar L4 L5 spinal stenosis post decompression and TLIF Transforaminal Lumbar Interbody Fusion installation with history of hypertension, obesity, and foot drop dextra. Interventions were performed for five days of care that included health education, muscle strength training, bed mobilization, to out of bed mobilization using walkers.

The result of the intervention was client's ability to mobilize has increased which has been shown in the achievement of 6 of 8 JH HLM score John Hopkins Highest Level of Mobilty which client can walked more than 10 steps within 5 days of treatment. Client's general condition also improved which physical aspect including the client were more active to change position and moved, rare to complaint pain and tiredness, said more comfortable and her body more relaxed emotional aspect including good mood, minimal anxiety during mobilization, cooperative in mobilization program , social aspect including the level of client independence for mobilization increased, the family actively participated in supporting and assisting clients in the mobilization program. The results of the analysis showed that the intervention of early postoperative mobilization program had a positive impact on client's postoperative outcomes, therefore it needs to be a priority interventions in postoperative nursing care. "