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"Kecemasan merupakan perasaan yang sering dirasakan oleh pasien yang dirawat di ICU. Hal ini terjadi karena adanya stressor lingkungan, banyaknya tindakan invasif, perasaan kesepian dan ketakutan akan kematian Banyak jenis terapi komplementer untuk menurunkan tingkat kecemasan. Salah satunya dengan terapi musik dan terapi murotal. Tujuan penelitian ini adalah mengidentifikasi penerapan terapi musik dan terapi murotal terhadap penurunan kecemasan pada pasien yang dirawat di ruang intensif care. Desain penelitian menggunakan studi kasus pada 1 responden dengan kriteria pasien dirawat di ICU > 48 jam dengan ventilator, kesadaran composmentis. Penelitian ini dilakukan selama 5 hari. Hasil penelitian menunjukkan terdapat penurunan tingkat kecemasan, tingkat kecemasan pada pasien yang dirawat sebelum diberikan terapi musik dan terapi murotal tingkat kecemasan Ny. I 86 (sedang) sesudah diberikan selama 5 hari, kecemasan responden mengalami penurunan skor kecemasan Ny. I 62 (ringan) dan respon dari penderita mengatakan lebih rileks, hati tenang dan nyeri berkurang. Kesimpulan terapi musik dan terapi murotal efektif menurunkan kecemasan pasien, nyeri, dan meningkatkan proses penyapihan ventilator yang dialami pasien perawatan kritis.

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Anxiety is an emotion that is often experienced by patients who admitted to the ICU. Anxiety occurs due to the of environmental stressors, multiple invasive actions, feelings of loneliness and fear of death. There are several complementary therapies that are feasible to be done to reduce anxiety levels, such as music therapy and murotal therapy. The purpose of this study was to identify the application of music therapy and murotal therapy to reduce anxiety in patients treated in the intensive care. The study design used a case study on 1 respondent with the criteria of patients being treated in the ICU > 48 hours on a ventilator, with compos mentis awareness. This research was conducted for 5 days. The results showed that there was a decrease in the level of anxiety of patients who were treated before and after given music therapy and murotal therapy. Before the intervention was applied, Ny. I anxiety score is 86 (moderate) and after being given for 5 days, the anxiety of the respondent decreased with score of 62 (mild). Subjective response from the patient claimed that she was more relaxed, calmed down and reduced pain. The conclusion is that music therapy and murotal therapy are effective in reducing patient anxiety, pain and improve ventilator weaning process experienced by critical care patient.."

"[ABSTRAK Lansia yang tinggal di perkotaan lebih banyak dibandingkan lansia yang tinggal di pedesaan Peningkatan usia harapan hidup dan peningkatan jumlah lansia yang tinggal di perkotaan memicu timbulnya masalah kesehatan perkotaan khususnya populasi yang rentan yaitu lansia Karya ilmiah ini bertujuan untuk menganalisis hasil praktik klinik pada nenek K 73 tahun dengan masalah malnutrisi menggunakan intervensi oral hygiene Praktik klinik dilakukan di STW 1 Ciracas selama tujuh minggu dengan melakukan intervensi oral hygiene pada 4 lansia dengan malnutrisi Hasil pengkajian status nutrisi pada klien kelolaan menggunakan MNA didapatkan hasil 14 5 dan pengukuran tinggi badan 154 cm dan berat badan 30 kg hasil penilaian IMT 12 65 yang berarti mengalami malnutrisi Intervensi oral hygiene yang dilakukan dengan memfasilitasi klien untuk menggosok gigi menggunakan sikat dan pasta gigi dengan gerakan vertikal secara lembut dan menggunakan obat kumur selama dua kali sehari Hasil intervensi keperawatan dengan melakukan oral hygiene kepada klien yang malnutrisi selama lima minggu yaitu tidak tercium bau mulut mukosa mulut lembab saliva bertambah peningkatan selera makan dan peningkatan berat badan 1 kg Care giver diharapkan melakukan oral hygiene dua kali sehari untuk meningkatkan status nutrisi pada lansia di sasana Kata kunci lansia oral hygiene malnutrisi STW ABSTRACT Elderly who live in more urban areas compared to the elderly who live in rural areas Increased life expectancy and the increasing number of elderly people living in urban areas lead to urban health problems particularly vulnerable population that is elderly This scientific work aimed to analyze the results of clinical practice in Nenek K 73 years old with problems of malnutrition using oral hygiene interventions Clinical practice carried out in STW 1 Ciracas for seven weeks with oral hygiene interventions in four elderly people with malnutrition Results of the assessment of nutritional status on the managed client using the MNA showed 14 5 and height measurement 154 cm and weight 30 kg assessment 12 65 IMT meaning malnourished Oral hygiene interventions undertaken by facilitating clients to brush their teeth using a toothbrush and toothpaste with vertical movement gently and use a mouthwash for two times a day The results of nursing interventions by performing oral hygiene to clients who are malnourished during the five weeks that do not smell bad breath oral mucosa moist saliva increased increased appetite and weight gain of 1 kg Care giver is expected to perform twice daily oral hygiene to improve the nutritional status of the elderly in the Sasana Key words elderly oral hygiene malnutrition STW ;Elderly who live in more urban areas compared to the elderly who live in rural areas Increased life expectancy and the increasing number of elderly people living in urban areas lead to urban health problems particularly vulnerable population that is elderly This scientific work aimed to analyze the results of clinical practice in Nenek K 73 years old with problems of malnutrition using oral hygiene interventions Clinical practice carried out in STW 1 Ciracas for seven weeks with oral hygiene interventions in four elderly people with malnutrition Results of the assessment of nutritional status on the managed client using the MNA showed 14 5 and height measurement 154 cm and weight 30 kg assessment 12 65 IMT meaning malnourished Oral hygiene interventions undertaken by facilitating clients to brush their teeth using a toothbrush and toothpaste with vertical movement gently and use a mouthwash for two times a day The results of nursing interventions by performing oral hygiene to clients who are malnourished during the five weeks that do not smell bad breath oral mucosa moist saliva increased increased appetite and weight gain of 1 kg Care giver is expected to perform twice daily oral hygiene to improve the nutritional status of the elderly in the Sasana Key words elderly oral hygiene malnutrition STW , Elderly who live in more urban areas compared to the elderly who live in rural areas Increased life expectancy and the increasing number of elderly people living in urban areas lead to urban health problems particularly vulnerable population that is elderly This scientific work aimed to analyze the results of clinical practice in Nenek K 73 years old with problems of malnutrition using oral hygiene interventions Clinical practice carried out in STW 1 Ciracas for seven weeks with oral hygiene interventions in four elderly people with malnutrition Results of the assessment of nutritional status on the managed client using the MNA showed 14 5 and height measurement 154 cm and weight 30 kg assessment 12 65 IMT meaning malnourished Oral hygiene interventions undertaken by facilitating clients to brush their teeth using a toothbrush and toothpaste with vertical movement gently and use a mouthwash for two times a day The results of nursing interventions by performing oral hygiene to clients who are malnourished during the five weeks that do not smell bad breath oral mucosa moist saliva increased increased appetite and weight gain of 1 kg Care giver is expected to perform twice daily oral hygiene to improve the nutritional status of the elderly in the Sasana Key words elderly oral hygiene malnutrition STW ]"