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Abstrak :
ABSTRAK
Kondisi lingkungan perkotaan yang padat dan polusi udara di perkotaan dapat menimbulkan masalah kesehatan seperti TB paru. TB paru merupakan penyakit kronis dengan pengobatan lama yang dapat menimbulkan ansietas bagi penderitanya. Penulisan karya ilmiah ini bertujuan untuk melaporkan hasil asuhan keperawatan klien ansietas dengan TB paru. Implementasi keperawatan yang dilakukan selama lima hari meliputi, teknik relaksasi napas dalam, hipnosis lima jari, distraksi dan spiritual. Hasil dari penerapan intervensi ini didapatkan bahwa pasien dapat mengontrol atau mengatasi ansietasnya, yaitu dengan menunjukan tanda-tanda ansietass berkurang. Penanganan masalah psikososial ansietas yang dimulai dari mengenal ansietas sampai pilihan teknik mengontrol ansietas, seperti relaksasi napas dalam, hypnosis lima jari, distraksi dan spiritual perlu dikembangkan di unit keparawatan lainnya.

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ABSTRACT
Urban environment condition are dense and many air pollution that can cause health problems such as pulmonary tuberculosis (TB). TB is a chronic disease with a long treatment which can cause anxiety for the patient . This purpose of this final scientific nurse paper is to illustrate family nursing care on anxiety related to TB. Nursing implementation was applied for 5 days including deep breath relaxation technique, five fingers hypnosis, distraction and spiritual. The result of this intervention is patient can control her anxiety, with the decreasing sign and symptom of anxiety. Management of anxiety start from knowing what the anxiety until thecnique to control the anxiety such as deep breathing relaxation, five finger hypnosis, distraction and spiritual need to be developed on another nursing care unit.;;;

Abstrak :
ABSTRACT
Background: there are differences in factors associated with frailty syndrome in elderly population. The aim of this research was to determine frailty status (fit, pre-frail and frail) and to identify factors associated with physical frailty in urban community-dwelling elderly women. Methods: a cross-sectional study of community-dwelling women aged 60 years and older was conducted in West and Central Jakarta regions, Indonesia, from July until September 2017. The Cardiovascular Health Study (CHS) score was used to determine frailty status (fit/pre-frail/frail). Chi-Square Test and logistic regression analysis were used to determine association between independent variables and physical frailty. Results: there were 325 female subjects with a median age of 67 (60-94) years; 95,7% had income below the Provincial Minimum Income of DKI Jakarta in 2017 (<3,3 million IDR=238 USD/month), and 92.6% had a level of education ≤9 years. Subjects were classified into this following groups: fit (12,6%), pre-frail (63,4%) and frail (24%). Factors associated with physical frailty were age above 70 years old with OR 5,27, lower Barthel Index for Activities of Daily Living (B-ADL) with OR 2,85, depressive symptoms with OR 6,79, and Euro Quality of Life-5 Dimensions (EQ-5D) index with OR 1,96. Conclusion: elderly women in the urban community with low socioeconomic status were classified as fit (12,6%), pre-frail (63,4%) and frail (24%). Factors associated with physical frailty were age above 70 years old, depressive symptoms, lower functional status and health-related quality of life index.

Abstrak :
Nonunion fraktur merupakan komplikasi penyembuhan tulang yang disebabkan ketidakadekuatan respon tubuh terhadap mekanisme penyembuhan fraktur. Karya ilmiah ini bertujuan menganalisis asuhan keperawatan pada pasien nonunion fraktur cruris post OREF dengan riwayat DM. Intervensi yang dilakukan berupa elevasi kaki, ROM, pemantauan gula darah, manajemen diet DM serta pemberian discharge planning. Hasil intervensi menujukkan bahwa terdapat pengaruh pada pemberian elevasi kaki secara rutin pada pasien. Pasien menunjukkan perbaikan pada keadaan luka, penurunan nyeri dan penurunan tingkat edema. Peninjauan terhadap faktor risiko yang dapat memperburuk dan meningkatkan komplikasi penyembuhan luka serta tulang seperti diabetes mellitus harus dilakukan secara komprehensif. Selain itu, pemantauan status nutrisi, pencegahan infeksi dan edukasi kepada pasien perlu dimaksimalkan untuk membantu penyembuhan tulang. ...... Nonunion fracture is one of bone healing complication caused by inadequate body response of fracture healing mechanism. This study aimed to analyze the nursing intervention of nonunion fracture cruris post OREF revision patient with the history of diabetes mellitus. The intervention was done by leg elevation, ROM, glucose level monitoring, diet management and discharge planning. The results of this study showed that there was effect of routine leg elevation in patients. Patients showed improvement on the wound, decrease of pain and also the decrease of edema. The review of risk factors which can worsen and increase complication of wound and bone healing as diabetes mellitus should maintained comprehensively. In addition, monitoring of nutrients status, infection prevention and discharge planning to the patients should be optimized in order to improve bone healing.

Abstrak :
Achalasia merupakan salah satu penyakit saluran pencernaan yang dapat terjadi pada masyarakat perkotaan. Pola diet tidak sehat diperkirakan menjadi faktor risiko terjadinya masalah pencernaan yang dapat berkembang menjadi Achalasia. Dampak dari Achalasia adalah asupan makanan yang sulit baik secara oral ataupun enteral. Salah satu usaha untuk menangani Achalasia adalah dengan tindakan operasi. Tatalaksana pra operasi untuk persiapan fisik klien adalah dengan meningkatkan asupan nutrisi ke dalam tubuh melalui pemberian terapi nutrisi parenteral. Tujuan karya ilmiah ini adalah untuk menganalisis intervensi keperawatan yaitu pemberian nutrisi parenteral pada klien dengan Achalasia. Penulisan ini menggunakan pendekatan studi kasus klinik. Intervensi yang dilakukan selama 17 hari perawatan pra operasi menunjukan bahwa terapi nutrisi parenteral melalui vena perifer mampu memberikan asupan nutrisi yang adekuat dan membuat klien menjadi lebih berenergi dari sebelumnya. Namun disamping itu, klien juga mengalami phlebitis sebanyak 3 kali selama masa perawatan. Rekomendasi studi kasus ini dalam mengoptimalkan asupan nutrisi parenteral pada klien dengan Achalasia adalah dengan melakukan perawatan akses vena perifer secara rutin dan memperhatikan faktor-faktor yang dapat memunculkan phlebitis.

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Achalasia is one of the gastrointestinal diseases that can occur in urban communities. Unhealthy diet patterns are estimated to be a risk factor for digestive problems that can develop into Achalasia. The impact of Achalasia is a difficult dietary intake both orally and enterally. One attempt to deal with Achalasia is by surgery. Preoperative management for the client 39;s physical preparation is by increasing the intake of nutrients into the body through the provision of parenteral nutrition therapy. The purpose of this scientific paper is to analyze the nursing intervention that is giving parenteral nutrition to the client with Achalasia. This writing uses a clinical case study approach. Interventions performed during the 17 days of preoperative treatment show that parenteral nutrition therapy through peripheral vein can provide adequate nutritional intake and make the client more energetic than before. In addition, clients also experience phlebitis 3 times during the treatment period. The recommendation of this case study in optimizing the intake of parenteral nutrition on clients with Achalasia is by routinely perform peripheral venous access treatments and notice the factors that causes phlebitis.