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"Keterlambatan perkembangan merupakan salah satu masalah kesehatan yang rentan terjadi pada anak, khususnya anak berusia balita. Kesatuan pencapaian terhadap aspek-aspek perkembangan seperti motorik, bicara dan bahasa serta sosialisasi dan kemandirian membantu anak untuk tumbuh tidak hanya sehat secara fisik namun secara holistik. Upaya mempertahankan kesehatan anak berarti upaya menjaga generasi usia produktif untuk masa mendatang. Kegagalan dalam mencapai perkembangan tidak hanya berakibat terhadap kelangsungan hidup anak itu sendiri melainkan mengorbankan banyak kepentingan seperti meningkatkan rasio beban ketergantungan negara. Indonesia merupakan negara dengan indeks rata-rata perkembangan anak relatif rendah jika dibandingkan dengan indeks perkembangan negara-negara lain di ASEAN, yaitu hanya sebesar 88,7%. Faktor risiko keterlambatan perkembangan yang terdapat di Kabupaten Tangerang semakin meningkatkan kerentanan terjadinya keterlambatan perkembangan pada anak-anak di wilayah tersebut. Intervensi dilakukan terhadap Keluarga Bapak A dimana setelah perawat melakukan pengkajian keperawatan, Anak A yang merupakan anak perempuan dari Bapak A memiliki risiko keterlambatan perkembangan, terutama pada aspek bicara dan bahasa serta sosialisasi dan kemandirian. Keberhasilan perkembangan tidak lepas dari keterlibatan keluarga dalam memberikan stimulasi perkembangan. Pemberian intervensi keperawatan terapi bermain dijadikan sebagai salah satu intervensi peningkatan perkembangan anak. Setelah dilakukan intervensi sebanyak lima kali sesi permainan terhadap Anak A dengan risiko keterlambatan perkembangan, disimpulkan bahwa intervensi ini secara efektif membantu meningkatkan perkembangan Anak A terutama dari aspek sosialisasi dan kemandirian.

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Development delay is one of the health problems that is prone to occur in children, especially children aged under five. Attainment of development aspects such as motor, speech and language as well as socialization and independency help children to grow not only physically healthy but holistically. Effort to maintain children’s health mean efforts to maintain the productive age generation for our future. Failure to achieve development not only results in the survival of the child itself but also sacrifices many interests such as increasing the state’s burden of dependency ratio. Indonesia is a country with relatively low average child development index compared to other countries’ development index in ASEAN, which is only 88.7%. Risk factors for developmental delays found in Tangerang Regency further increase the vulnerability of developmental delays happen to children in the region. The intervention carried out on Mr. A’s family where after nurse conducted a nursing assessment, child A who was a daughter of Mr. A had a risk of developmental delays, especially in speech and language as well as socialization and independency aspect. Successful development cannot be separated from family involvement in providing developmental stimulation. Play therapy serve as one of the interventions to improve children’s development. After five sessions of intervention, it was concluded that this intervention helped improve the development of Child A, especially from aspect socialization and independency."

"Bronkopneumonia merupakan suatu kondisi peradangan akut yang secara spesifik terjadi di paru-paru, disebabkan oleh agen infeksius di sekitar saluran udara (bronkus) dan kantung udara (alveolus). Permasalahan yang umum terjadi pada anak dengan bronkopneumonia adalah terkait dengan bersihan jalan napas tidak efektif yang disebabkan oleh terjadinya peningkatan produksi sekret yang berlebih di jalan napas. Karya ilmiah ini bertujuan untuk menganalisis efektivitas penerapan breathing exercise melalui terapi bermain meniup kincir angin untuk mengatasi dyspnea pada anak. Pasien An.E (4th) tampak batuk berdahak disertai dengan napas cepat, penggunaan otot bantu napas, retraksi dada, suara napas tambahan, dan anak mendapatkan bantuan ventilasi berupa NK 2 lpm, didapatkan SpO2: 97%, HR: 132x /menit, RR: 38 x/menit, S: 36.4°C. Penerapan breathing exercise melalui terapi bermain meniup kincir angin yang dilakukan pada anak selama 3 hari perawatan menunjukan penurunan terhadap tingkat dyspnea anak yang dibuktikan dengan saturasi oksigen yang stabil dalam rentang 97-100% dan RR 24-32 x/menit. Hasil karya ilmiah ini diharapkan dapat dijadikan sebagai gambaran bagi perawat untuk dapat melakukan pengelolaan asuhan keperawatan dengan intervensi nonfarmakologis berupa penerapan breathing exercise melalui terapi bermain meniup kincir angin pada anak dengan diagnosis medis bronkopneumonia yang mengalami dyspnea.

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Bronchopneumonia is an acute inflammatory condition specific to the lungs, caused by infectious agents around the airways (bronchi) and air sacs (alveoli). A common problem in children with bronchopneumonia is related to ineffective airway clearance caused by increased production of excess secretions in the airway. This scientific work aims to analyze the effectiveness of applying breathing exercises through blowing windmill play therapy to treat dyspnea in children. Patient An.E (4th) appeared to cough with phlegm accompanied by rapid breathing, use of accessory muscles for breathing, chest retraction, additional breath sounds, and the child received ventilation assistance in the form of NK 2 lpm, obtained SpO2: 97%, HR: 132x/min, RR: 38 x/min, S:36.4°C. The application of breathing exercise through blowing windmill play therapy performed on children for 3 days of treatment shows a decrease in the level of dyspnea of children as evidenced by stable oxygen saturation in the range of 97-100% and RR 24-32 x/min. The results of this scientific work are expected to be used as an illustration for nurses to be able to carry out nursing care management with non-pharmacological interventions in the form of applying breathing exercises through windmill blowing play therapy in children with a medical diagnosis of bronchopneumonia who experience dyspnea."

"ABSTRAKPengendalian COVID-19 belum terselesaikan di Indonesia, kasus satu keluarga terinfeksi COVID-19 juga banyak ditemukan. Hal tersebut didasari pada rendahnya perilaku pencegahan COVID-19 pada individu dan anggota keluarga khususnya di rumah. Melihat pandemi ini dan protokol pencegahan yang ditetapkan asuhan keperawatan dengan penerapan telenursing adalah opsi yang direkomendasikan. Asuhan keperawatan dengan penerapan telenursing menjadi intervensi unggulan dalam peningkatkan kemampuan pencegahan COVID-19. Intervensi dilakukan dalam tiga minggu dengan pemberian asuhan keperawatan jarak jauh dan menggunakan teknologi komunikasi, serta media visual dan audiovisual. Hasil dari intervensi adalah, pengetahuan keluarga terkait penyakit COVID-19 dan tindakan pencegahan serta perawatan meningkat. Adopsi perilaku pencegahan dari pembelajaran yang dilakukan juga diterapkan keluarga dalam aktivitas harian.

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ABSTRACT

Control of COVID-19 has not been resolved in Indonesia, cases of one family infected with COVID-19 are also found. This is based on the low COVID-19 prevention behavior in individuals and family members, especially at home. Looking at this pandemic and the prevention protocol established by nursing care with the application of telenursing is a recommended option. Nursing care with the application of telenursing is the leading intervention in enhancing the ability to prevent COVID-19. The intervention was carried out in three weeks by providing remote nursing care and using communication technology, as well as visual and audiovisual media. As a result of the intervention, family knowledge related to COVID-19 disease and prevention and care measures increased. The adoption of preventive behaviors from learning is also applied by families in daily activities."

"[Pola asuh yang tidak tepat menjadi akar masalah kesehatan balita di daerah perkotaan yang dapat mempengaruhi tumbuh kembang balita. Karya Ilmiah Akhir ini bertujuan untuk memberikan gambaran tentang asuhan keperawatan keluarga pada keluarga balita dengan masalah risiko keterlambatan perkembangan di Kelurahan Sukamaju Baru, Depok. Intervensi keperawatan unggulan adalah terapi hypnoparenting. Hasil evaluasi menunjukkan peningkatan skor kuesioner pra skrining perkembangan anak, pengetahuan, motivasi Ibu terhadap pemberian stimulasi anak dan kemandirian keluarga. Intervensi ini untuk ibu dan balita yang dilakukan selama satu bulan dengan minimal terapi 30 kali agar hasilnya optimal.;Improper parenting became the cause of health problem in toddler in urban areas that affected their development and growth negatively. This paper aimed to depict the nursing care process within families with toddlers who had risk for delayed development in Kelurahan Sukamaju Baru, Depok. The focus of nursing care is the implementation of hypnoparenting. Result showed that there was improvements in terms of pre-screening questionnaire of development score, and both mother‟s knowledge and motivation towards stimulation for the toddlers, as well as family independency. This intervention for mothers and toddler carried out during for a month with a minimum of 30 times the therapy for optimal results.;Improper parenting became the cause of health problem in toddler in urban areas that affected their development and growth negatively. This paper aimed to depict the nursing care process within families with toddlers who had risk for delayed development in Kelurahan Sukamaju Baru, Depok. The focus of nursing care is the implementation of hypnoparenting. Result showed that there was improvements in terms of pre-screening questionnaire of development score, and both mother‟s knowledge and motivation towards stimulation for the toddlers, as well as family independency. This intervention for mothers and toddler carried out during for a month with a minimum of 30 times the therapy for optimal results.;Improper parenting became the cause of health problem in toddler in urban areas that affected their development and growth negatively. This paper aimed to depict the nursing care process within families with toddlers who had risk for delayed development in Kelurahan Sukamaju Baru, Depok. The focus of nursing care is the implementation of hypnoparenting. Result showed that there was improvements in terms of pre-screening questionnaire of development score, and both mother‟s knowledge and motivation towards stimulation for the toddlers, as well as family independency. This intervention for mothers and toddler carried out during for a month with a minimum of 30 times the therapy for optimal results., Improper parenting became the cause of health problem in toddler in urban areas that affected their development and growth negatively. This paper aimed to depict the nursing care process within families with toddlers who had risk for delayed development in Kelurahan Sukamaju Baru, Depok. The focus of nursing care is the implementation of hypnoparenting. Result showed that there was improvements in terms of pre-screening questionnaire of development score, and both mother‟s knowledge and motivation towards stimulation for the toddlers, as well as family independency. This intervention for mothers and toddler carried out during for a month with a minimum of 30 times the therapy for optimal results.]"

"Kejadian jatuh berdampak pada kondisi fisik lansia. Upaya-upaya untuk mencegah kejadian jatuh sangat penting dilakukan. Kejadian jatuh dapat  dicegah dengan melakukan mobilisasi progresif yang meliputi latihan mobilisasi, latihan rentang gerak sendi (ROM) baik aktif maupun pasif, latihan kekuatan otot, dan latihan keseimbangan. Latihan Foot and Ankle merupakan program latihan yang dirancang untuk mengurangi risiko jatuh dengan melatih kekuatan otot dan keseimbangan. Rentang gerak kaki, pergelangan kaki, hingga jari kaki berperan penting dalam menstabilkan kaki selama berdiri dan berjalan, rentang gerak yang memadai pada pergelangan dan jari kaki diperlukan untuk melakukan fungsi motorik dasar sehari-hari. Klien Kakek D laki-laki, berusia 73 tahun, dan berlatar belakang Suku Batak. Latihan Foot and Ankle mengurangi risiko jatuh setelah dilakukan intervensi selama 12 kali

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Falls have an impact on the physical condition of the elderly. Efforts to prevent falls are very important. Falls can be prevented by doing immediate and progressive mobilization which includes mobilization exercises, joint range of motion (ROM) exercises both active and passive, muscle strength training, and balance exercises. Foot and Ankle training is an exercise program designed to reduce the risk of falling by training muscle strength and balance. Range of motion of the foot, ankle and toes plays an important role in stabilizing the foot during standing and walking, adequate range of motion in the ankle and toes is necessary to perform basic daily motor functions. Grandpa D's client is male, 73 years old, and has a Batak ethnic background. Foot and Ankle exercises reduce the risk of falling after intervention for 12 times."

"Hipertensi sering disebut sebagai silent killer karena terjadi secara bertahap merusak jantung, pembuluh darah, dan organ tubuh lainnya tanpa adanya tanda dan gejala yang jelas. Salah satu faktor yang mempengaruhi peningkatan tekanan darah adalah kurangnya aktivitas fisik. Karya akhir ilmiah ners ini bertujuan untuk memberikan gambaran dan analisis asuhan keperawatan keluarga dengan hipertensi melalui penerapan brisk walking exercise dan terapi musik yang dilakukan selama 30 menit dalam 6 sesi selama 2 minggu. Hasil evaluasi setelah penerapan intervensi keperawatan dan brisk walking exercise bersamaan dengan terapi musik menunjukkan adanya penurunan tekanan darah dengan rerata penurunan 9 mmHg pada sistolik dan 7,1 mmHg pada diastolik. Penerapan intervensi brisk walking exercise dan terapi musik harus dilakukan sesuai dengan prinsip dalam menjalankan aktivitas fisik, yaitu dengan 2B (baik dan benar) dan 2T (terukur dan teratur). Brisk walking exercise dan terapi musik dapat digunakan sebagai salah satu intervensi alternatif bagi klien dengan hipertensi.

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Hypertension is frequently called as silent killer since it occurs gradually damaging the heart, blood vessel, and other body organ without any clear signs and symptoms. One of the factors influencing the increase of blood pressure is lack of physical activity. The aim of this nurse final scientific paper is to provide an overview of the analysis family nursing care with hypertension through the application of brisk walking exercise and musical therapy conducted for 30 minutes in 6 sessions for 2 weeks. The result of evaluation after application of nursing intervention and brisk walking exercise with musical therapy shows a decrease of blood pressure with average decrease of 9 mmHg at systolic and 7.1 mmHg at diastolic. The application of these brisk walking intervention exercises and natural sound musical therapy must be conducted in accuracy with the principle in conducting physical activity, namely with 2B (good and right) and 2T (measurable and regularly). Brisk walking exercise and natural sound musical therapy can be used as one of alternatives interventions for the client suffering hypertension."

"Cleft lip and palate (CLP) merupakan malformasi orofasial kongenital yang paling umum terjadi pada anak. Anak-anak yang terlahir dengan celah bibir (cleft lip) dan/atau celah langit-langit mulut (cleft palate) memerlukan prosedur operasi untuk merekonstruksi area yang terkena untuk perbaikan makan, bicara dan fungsi saluran napas. Prosedur operasi merupakan salah satu penanganan penyakit yang membutuhkan hospitalisasi dan sering menimbulkan ketidaknyamanan bagi anak-anak juga orang tua atau pengasuhnya. Masalah yang sering timbul pada anak yang menjalani hospitalisasi dan prosedur bedah adalah kecemasan dan nyeri. Tujuan penulisan ini adalah untuk menganalisis asuhan keperawatan pada pasien anak dengan ansietas dan nyeri pascaoperasi palatoplasti dengan penerapan intervensi bermain terapeutik. Hasil penelitian menunjukkan tingkat kecemasan dan nyeri pascaoperasi menurun namun intervensi baru berhasil dilakukan pada hari keempat perawatan. Hal tersebut dikarenakan bina hubungan saling percaya yang baru terbentuk serta tingkat nyeri yang masih tinggi sehingga masih berada di bawah penanganan utama manajemen nyeri farmakologis. Penerapan intervensi bermain terapeutik ini akan  lebih optimal jika diterapkan dalam waktu, durasi dan jenis permainan yang tepat.

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Management of anxiety and pain in pediatric after palatoplasty procedure with therapeutic play intervention. Cleft lip and palate (CLP) are the most common congenital orofacial malformation in children. Children who were born with cleft lip and / or cleft palate are requiring surgical procedures to reconstruct the affected area for improving the ability of eat, speech and airway function. Surgical procedure is one of the curing of the diseases and it is requiring hospitalization and often causing discomfort for children as well as parents or caregivers. The problems that might be arise in children who are undergoing hospitalization and surgical procedures are anxiety and pain. This paper aims to analyze nursing care in pediatric patients who have anxiety and postoperative palatoplasty pain by applying therapeutic play interventions. The result of this paper shows that the level of postoperative anxiety and pain have decreased but the result of the interventions have successed on the fourth day of treatment. That is because the establish trusting relitionship has new formed and the level of pain is still at high, so that it is still under the main intervention of pharmacological pain management. Implementing therapeutic play interventions will be more optimal if it is applied at the proper of time, duration, and type of play.  "