Hasil Pencarian  ::  Simpan CSV :: Kembali

"ABSTRAKKesehatan ibu dan bayi memegang peranan penting pada pepmbangunan suatu bangsa. Angka kematian ibu (AKI) di Indoneesia pada tahun 2018 sebanyak 305/100.000 kelahiran hidup dan Angka kematian Bayi (AKB) pada tahun 2018 sebanyak 15/1000 kelahiran hidup. Persalinan prematur atau preterm adalah kelahiran hidup dengan usia gestasi kurang dari 37 minggu. Penyebab terjadinya persalinan preterm diantaranya kehamilan gemelli. Asuhan keperawatan yang diberikan pada ibu primipara diharapkan perawat membantu proses pencapaian peran ibu serta mengajarkan kemandirian dalam merawat diri dan bayinya. Metode yang digunakan adalah studi kasus dengan fokus penerapan teori self care Orem dan maternal role attainment Mercer. Aplikasi teori Orem dan Mercer efektif diterapkan pada kelima kasus yang dikelola, perawat melakukan observasi dan wawancara pada perilaku pasien serta kebutuhan yang diharapkan dari perawat. Intervensi keperawatan yang sesuai dengan kebutuhan pasien membantu dalam pencapaian kemandirian pasien dalam merawat diri dan pencapaian peran menjadi ibu lebih optimal. Implemantasi pada bayi untuk kemandirian ibu dan pencapaian peran dengan memberikan terapi pijat pada bayi

---

ABSTRACTMaternal and infant health plays an important role in the development of a nation. The maternal mortality rate (MMR) in Indonesia in 2018 was 305 / 100,000 live births and the Infant Mortality Rate (IMR) in 2018 was 15/1000 live births. Preterm or preterm labor is a live birth with a gestational age of less than 37 weeks. Cause labor. Nursing care given to primiparous mothers is expected to help nurses process the mother s role and ask for independence in caring for themselves and their babies. The method used is a case study with a focus on applying Orem's self-care theory and Mercer s achievement of the mother s role. The application of the theory of Orem and Mercer effectively applied to managed cases, nurses make observations and interviews with patients with the expected needs of nurses. Nursing interventions in accordance with patient needs help in achieving patient independence in caring for themselves and supporting the role of being a mother more optimally. Implication in infants for maternal independence and role and giving massage therapy to infants"

"Children, their families, and the nurse -- Assessment of the child and family -- Family-centered care of the newborn -- Family-centered care of the infant -- Family-centered care of the young child -- Family-centered care of the school-age child -- Family-centered care of the adolescent -- Family-centered care of the child with special needs -- The child who is hospitalized -- The child with disturbance of fluid and electrolytes -- The child with problems related to the transfer of oxygen and nutrients -- The child with problems related to production and circulation of blood -- The child with disturbance of regulatory mechanisms -- The child with a problem that interferes with physical mobility."

"The leading text in pediatric nursing, Wong's Nursing Care of Infants and Children takes a unique, easy-to-understand developmental approach to describe the care of children at each age and stage of development. Childhood diseases and disorders are organized by age groups and body systems, and described through the nursing process framework. This edition includes updates on topics such as the new CPR guidelines, immunizations, and pain assessment and management. Written by pediatric experts, Dr. Marilyn Hockenberry and David Wilson, each with nearly 30 years of hands-on experience, this bestseller provides an evidence-based, clinical perspective that shows how the quality of nursing care can impact quality patient outcomes. -- Provided by publisher."

"Penuaan mempengaruhi perubahan tubuh termasuk sistem muskuloskeletal. Penurunan yang terjadi dikarenakan berkurangnya massa otot, kekakuan jaringan penghubung, dan penurunan kepadatan tulang mengakibatkan kelambanan bergerak,gangguan keseimbangan, dan koordinasi gerak sehingga mudah jatuh. Jatuh berdampak secara fisik maupun psikis lansia. Sebagai intervensi risiko jatuh, latihan keseimbangan dapat dijadikan referensi latihan bagi lansia. Latihan keseimbangan meningkatkan kekuatan otot dan keseimbangan untuk mencegah tubuh jatuh. Latihan keseimbangan dilakukan setiap hari (11 pertemuan) dengan durasi 10 - 15 menit perhari. Sebelum latihan penulis malakukan skreaning MMSE, dilanjutkan dengan instrument skrining jatuh (MFS, BBT, dan TUG). Saat latihan peneliti akan melakukan pengukuran tanda vital sebelum dan sesudah latihan, pengkajian TUG, dan melakukan gerakan latihan keseimbangan. Latihan keseimbangan yang dilakukan rutin signifikan terhadap keseimbangan postural terlihat dari adanya perubahan dalam stepping, gaya berjalan mulai membaik, postur tubuh saat berjalan mulai tegak, peningkatan nilai BBT dari skor 46 menjadi 50, dan penurunan waktu TUG dari 14 detik menjadi rata – rata waktu 12,5 detik selama intervensi. Pelaksanaan intervensi memerlukan seorang pendamping yang bertugas mengawasi dan menjaga lansia agar tidak jatuh, sekaligus menciptakan perasaan aman bagi lansia saat latihan. Sangat disayangkan intervensi ini sulit dilakukan secara berkelanjutan dikarenakan kekurangan sumber daya serta petugas sosial dan perawat panti memiliki tugas dan kewajiban lainnya yang perlu dilakukan sehingga untuk melakukan intervensi latihan keseimbangan akan sulit terlaksana. Untuk itu saya menyarankan bagi mahasiswa yang berpraktik di panti untuk melanjutkan intervensi ini sebagai intervensi pencegahan risiko jatuh pada lansia yang terdapat di panti.

---

Aging affects changes in the body including the musculoskeletal system. The decrease that occurs due to reduced muscle mass, stiffness of connective tissue, and decreased bone density results in sluggishness of movement, balance disorders, and coordination of motion so that it is easy to fall. Falls have a physical and psychological impact on the elderly. As a fall risk intervention, balance exercises can be used as an exercise reference for the elderly. Balance exercises improve muscle strength and balance to prevent the body from falling. Balance exercises are carried out every day (11 meetings) with a duration of 10-15 minutes per day. Before the exercise, the author conducted MMSE screening, followed by fall screening instruments (MFS, BBT, and TUG). During exercise, researchers will measure vital signs before and after exercise, assess TUG, and perform balance exercise movements. Balance exercises performed routinely are significant for postural balance as seen from changes in stepping, gait begins to improve, posture when walking begins to straighten, increases BBT scores from 46 to 50, and decreases TUG time from 14 seconds to an average time of 12. ,5 seconds during the intervention. Implementation of the intervention requires a companion who is in charge of supervising and keeping the elderly from falling, while creating a feeling of security for the elderly during exercise. It is unfortunate that this intervention is difficult to carry out in a sustainable manner due to lack of resources and social workers and nursing home nurses have other duties and obligations that need to be carried out so that it will be difficult to carry out balance training interventions. For that I suggest for students who practice in nursing homes to continue this intervention as an intervention to prevent the risk of falling for the elderly who are in nursing homes"

"Dengue Hemorrhagic Fever (DHF) merupakan masalah kesehatan yang umum terjadi di Indonesia, terlebih lagi saat memasuki musim penghujan. Anak-anak menyumbang kasus terbanyak pada kasus DHF di Indonesia. Efek dari virus penyebab DHF salah satunya adalah kebocoran plasma akibat penurunan kadar trombosit dalam tubuh penderita. Salah satu masalah keperawatan yang berkaitan erat dengan kebocoran plasma pada DHF adalah risiko hipovolemia. Karya ilmiah ini ditulis bertujuan untuk menganalisis asuhan keperawatan masalah risiko hipovolemia pada anak dengan DHF. An. M (10 tahun) dengan dengan DHF mengalami demam tinggi dengan suhu 38,5oC, kondisi membran mukosa yang pucat serta kondisi bibir yang kering, tekanan darah 102/60 mmHg, frekuensi nadi 97 kali per menit, dan kekuatan nadi yang teraba agak lemah. Kadar trombosit saat dilakukan pemeriksaan pertama kali sebesar 81000/µl. Intervensi manajemen cairan diberikan selama 5 hari, pasien mengalami perbaikan status hidrasi yang terlihat dari kondisi membrane mukosa dan bibir menjadi lembab, tanda vital stabil, terjadi kenaikan trombosit dan peningkatan intake per oral pasien. Hasil penelitian ini diharapkan dapat menjadi landasan untuk peningkatan kesadaran dalam melakukan pemantauan cairan yang akurat serta memahami kondisi klinis pasien dengan kekurangan cairan atau kelebihan cairan.

---

Dengue Hemorrhagic Fever (DHF) is the one of most common health problem in Indonesia, especially during the rainy season. Children are the largest contributor for dengue cases in Indonesia. One of the effects of the virus that causes DHF is plasma leakage due to the thrombocytopenia. Risk of hypovolemia is the one of common nursing problem that occur in patient with DHF. This scientific paper is written to analyzing nursing care for the risk of hypovolemia in children with DHF. Patient M (10 years old) has a high fever with a temperature of 38,5oC, has pale mucous membranes and dry lips, the blood pressure 102/60 mmHg, pulse rate 97 beats per minute with the poor beats of pulses. The platelet level was 81000/µl. The fluid management intervention was given for 5 days, the patient shows an improvement in hydration status as seen from the condition of mucous membranes and lips becoming moist, stable vital signs, an increase in platelets level and patient’s oral intake. The results that expected from this study are for to be a baseline for increasing awareness of conducting accurate fluid monitoring and understanding the clinical condition of patient with fluid deficiency or fluid overload"

"Anak yang dirawat di rumah sakit sering terjadi Moisture Assosiated Skin Damage (MASD) dan medical adhesive – related skin injuries (MARSI) menimbulkan perasaan tidak nyaman seperti nyeri dapat memberikan citra buruk pada pelayanan yang diberikan oleh petugas kesehatan selama anak dirawat di rumah sakit dan berdampak pada perawatan yang panjang serta biaya perawatan akan lebih besar. Penelitian ini bertujuan untuk pencegahan kejadian MASD dan MARSI pada anak selama perawatan. Rancangan penelitian menggunakan quasi eksperiment pretest dan posttest dengan kelompok kontrol. Penelitian ini mengambil sampel 39 pasien pada kelompok intervensi dan kontrol pada ruangan general infeksi dengan menggunakan alat ukur braden q, barthel indek dan menggunakan no sting skin barrier film. Hasil penelitian ini menunjukan bahwa ada perbedaan bermakna antara sebelum dan sesudah dilakukan pemberian no sting skin barrier film untuk pencegahan terjadinya MASD dan MARSI dengan hasil antara kelompok intervensi sebesar 100 % dengan kelompok kontrol sebesar 84,6 % ( MASD) dengan 6 sampel ada maserasi pada kulit dan 66,7 % (MARSI) dan 26 sampel terdapat maserasi pada kulit anak

---

Hospitalized pediatric patients frequently experience Moisture Associated Skin Damage (MASD) and Medical Adhesive- Related Skin Injuries (MARSI). This condition will cause discomfort sensations such as pain and can give a negative image to the services provided by health workers while the child is in the hospital. Additionally MASD dan MARSI have a long-term impact on the health of the child and will increase the cost in the long run. This study aims to prevent the occurrence of MASD and MARSI in children during treatment in hospital. The research design used a quasi experiment pretest and posttest with control group. This research was conducted in the general ward infection with 39 sample in intervention group and control used a braden q and barthel indeq instrument and using no sting skin barrier film. This study showed a significant difference between before and after used of no sting skin barrier film to prevent MASD and MARSI in intervention group 100 % and the control group of 84, 6 % (MASD) and 66,7% (MARSI) ; 6 samples had maceration."

"Perkembangan populasi lansia yang tinggal di institusi perawatan jangka panjang seperti panti yang berada di perkotaan cenderung menimbulkan masalah kesehatan akibat gaya hidup yang tidak sehat, salah satu masalah yang sering muncul adalah hipertensi atau masalah kardiovaskuler. Hipertensi merupakan suatu keadaan yaitu tingginya atau meningkatnya tekanan darah akibat kondisi pembuluh darah yang secara persisten mengalami kenaikan tekanan, dimana pada orang dewasa atau lansia yaitu saat tekanan darah lebih dari 140/90 mmHg. Studi kasus ini bertujuan untuk menggambarkan hasil intervensi terapi imajinasi terbimbing yang dilakukan pada lansia dengan masalah risiko kerusakan fungsi kardiovaskuler. Intervensi terapi imajinasi terbimbing dilakukan selama 5 minggu dalam durasi 30 menit. Hasil intervensi menunjukkan terjadi penurunan pada tekanan darah sistolik sebanyak 5-15 mmHg dan diastolik sebanyak 3-10 mmHg, serta penurunan 3 poin pada tingkat stres. Hal tersebut menunjukkan bahwa terapi imajinasi terbimbing merupakan intervensi yang efektif, aplikatif, berbiaya efisien, dan aman yang dapat digunakan dalam mengontrol tekanan darah dan menurunkan tingkat stres pada lansia dengan risiko kerusakan fungsi kardiovaskuler. Penulis menyarankan untuk pengaplikasian terapi imajinasi terbimbing dalam mengoptimalkan perawatan lansia dengan hipertensi di institusi perawatan jangka panjang.

---

The development of elderly populations living in long-term care institutions such as urban homes tend to cause health problems due to unhealthy lifestyles, one of the most common problems of hypertension or cardiovascular problems. Hypertension is a condition that is high or increased blood pressure due to the condition of blood vessels that persistently increased pressure, which in adults or elderly when blood pressure is more than 140/90 mmHg. This case study aims to illustrate the outcomes of guided imagery therapy interventions performed on the elderly with the risk of impaired cardiovascular function. Guided imagery therapy interventions were performed for 5 weeks in 30-minute duration. The results of the intervention showed a decrease in systolic blood pressure as much as 5-15 mmHg and diastolic as much as 3-10 mmHg, as well as a 3-point drop in stress levels. This suggests that guided imagery therapy is an effective, applicative, cost efficient, and safe intervention that can be used in controlling blood pressure and lowering stress level in the elderly with the risk of impaired cardiovascular function. The authors suggest for the application of guided imagery therapy in optimizing elderly care with hypertension in long-term care institutions. "