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"Karya ilmiah ini melaporkan hasil asuhan keperawatan klien dengan ansietas yang menderita TB paru dan intestinal. Klien mengalami ansietas disebabkan oleh nyeri yang belum pernah dirasakan sebelumnya dan hasil pemeriksaan diagnostik terhadap kondisi kesehatannya. Implementasi keperawatan dilakukan sebanyak sembilan kali interaksi, yaitu dengan tarik napas dalam, hipnosis lima jari, meningkatkan kegiatan ibadah, dan melibatkan keluarga. Hasil berdasarkan respon verbal dan nonverbal klien menunjukkan bahwa ansietas berkurang saat melakukan latihan tarik napas dalam dan hipnosis lima jari, namun saat nyeri terasa maka ansietas muncul kembali. Saran penulisan selanjutnya adalah pemberian asuhan keperawatan ansietas yang sesuai dengan respon klien terhadap masalah fisik.

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The objective of this paper is to report the results of nursing care to client with pulmonary and intestinal TB who experiencing anxiety. Client experiencing anxiety caused by the pain that never felt before and the results of diagnostic tests toward her conditions health. Implementation of nursing care has been done for nine times, such as deep breathing exercise, hypnosis five fingers, support to increasing religious activities, and involving family.

Results of this implementation is based on client's verbal and nonverbal response showed that anxiety was reduced while client doing deep breathing and hypnosis five fingers, but when the pain is appears then anxiety came back. Recommendation for next paper is giving anxiety nursing care according to client’s response to physical problems."

"Tuberkulosis merupakan salah satu penyakit menular yang banyak dialami oleh masyarakat perkotaan. Rentannya masyarakat perkotaan terhadap kejadian tuberkulosis salah satunya dipengaruhi oleh lingkungan perkotaan yang padat dan lembab. Tuberkulosis tidak hanya memberikan dampak fisik terhadap penderitanya, akan tetapi berdampak pula terhadap keadaan psikososial. Masalah psikososial yang sering muncul terkait penyakit tuberkulosis adalah ansietas. Tujuan penulisan ini adalah melakukan analisis evidence based mengenai teknik relaksasi khususnya tarik napas dalam dan distraksi dengan mendengarkan musik untuk mengatasi ansietas pada penderita tuberkulosis. Hasil dari pemberian teknik relaksasi pada klien dengan tuberkulosis terbukti efektif untuk menurunkan ansietas yang dideritanya. Rekomendasi penulisan ini adalah perawat perlu mengajarkan teknik relaksasi kepada klien tuberkulosis dengan ansietas sedini mungkin agar proses penyembuhan klien menjadi lebih optimal.

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Tuberculosis is one of the infectious disease that is often happened in urban communities. Vulnerability of urban communities on the incidence of tuberculosis is affected by dense urban environments and moist. The disease has an impact on the overall well-being of the patient, which is affecting not only the physical impact but also psychosocial. Anxiety is one of the psychosocial problem that is often related to the disease. The purpose of this paper is to analyze evidence based on relaxation techniques in particular relaxation breathing exercise and distraction especially listening music to overcome anxiety in patients with tuberculosis. The results of the intervention in these patients showed that the intervention is effective to reduce anxiety. Recommendation of this paper is that nurse should teach relaxation techniques to patients with tuberculosis as soon as possible to allow the optimal healing."

"[ABSTRAKUrbanisasi membawa dampak terhadap berbagai sektor di lingkungan perkotaan, yang berdampak pada perubahan gaya hidup. Gaya hidup seperti kurang aktivitas dan makan makanan tidak sehat berdampak pada munculnya berbagai macam penyakit sepertidiabetes. Diabetes mellitus merupakan penyakit kronis yang dapat menimbulkan berbagai komplikasi, baik fisik maupun psikososial. Ansietas merupakan salah satu komplikasi psikososial yang dapat timbul akibat adanya masalah kesehatan. Intervensi keperawatan membantu bapak G mengenal ansietasnya, mengidentifikasi cara yang digunakan untuk mengatasi ansietasnya, mengajarkan bapak G untuk mengatasi ansietasnya, seperti teknik distraksi, tehnik relaksasi tarik nafas dalam dan hypnosis 5 jari, dan melibatkan keluarga dalam mengatasi ansietas bapak G, yang dapat mengatasi ansietas akibat diabetes mellitus.

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ABSTRACTUrbanization had an impact on various sector in urban environments, which have an impact on lifestyle changes. The lifestyle like inactivity and ate unhealthy foods have an impact on the emergence of various diseases such as diabetes. Diabetes mellitus is a chronic disease that can lead to various complications, both physical and psychosocial. Anxiety is one of the psychosocial complications that may arise due to healthy problems. Nursing interventions help Mr. G to identify his anxiety, teached Mr. G to decrease his anxiety with a varios technique, such as distraction technique, relaxation technique and hypnosis breathing in 5 fingers, and also involves families in overcoming anxiety Mr. G, which can overcome the anxiety caused by diabetes mellitus., Urbanization had an impact on various sector in urban environments, which havean impact on lifestyle changes. The lifestyle like inactivity and ate unhealthy foodshave an impact on the emergence of various diseases such as diabetes. Diabetesmellitus is a chronic disease that can lead to various complications, both physicaland psychosocial. Anxiety is one of the psychosocial complications that may arisedue to healthy problems. Nursing interventions help Mr. G to identify his anxiety,teached Mr. G to decrease his anxiety with a varios technique, such as distractiontechnique, relaxation technique and hypnosis breathing in 5 fingers, and alsoinvolves families in overcoming anxiety Mr. G, which can overcome the anxietycaused by diabetes mellitus.]"

"Tuberkulosis (TB) paru merupakan salah satu penyakit menular yang banyak terjadi di lingkungan perkotaan. Penderita TB paru tidak hanya mengalami masalah fisik tetapi juga masalah psikososial. Salah satu intervensi keperawatan yang dapat dilakukan adalah dengan mengembangkan teknik berpikir positif pada pasien. Cara ini terbutkti efektif dalam membantu pasien untuk mengembangkan rasa percaya diri, semangat untuk sembuh dan keterbukaan. Asuhan keperawatan pada pasien dengan harga diri rendah perlu untuk mendapatkan perhatian khusus dari perawat untuk mencegah terjadinya masalah yang lebih berat.

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Tuberculosis (TB) is one of the pulmonary infectious diseases which are prevalent in the urban environment. Patients with pulmonary tuberculosis are not only have physical problems but also psychosocial problems. One of the nursing interventions that can be done is developing positive thinking techniques on patients. This way effective in helping patients to develop self-confidence and openness of spirit to heal. Nursing care in patients with low self esteem need to get special attention from nurses to prevent more serious problems."

"[ABSTRAK Tuberkulosis paru merupakan salah satu masalah kesehatan masyarakat perkotaandan penyebab kematian tertinggi di Indonesia. Penulisan karya ilmiah bertujuanuntuk menganalisis asuhan keperawatan pada pasien TB Paru dengan kontekskeperawatan kesehatan masyarakat perkotaan. Asuhan keperawatan diberikansesuai dengan proses keperawatan. Masalah keperawatan utama yang munculadalah bersihan jalan nafas tidak efektif, intoleransi aktifitas dan kurangpengetahuan tentang TB dan pengobatannya. Intervensi yang diberikan adalahmemberikan posisi semipowler, latihan ROM secara aktif, dan intervensi khususpemberian pendidikan kesehatan tentang kepatuhan minum Obat AntiTuberkulosis. Hasil evaluasi dari asuhan keperawatan menunjukkan jalan nafasadekuat, aktivitas mandiri, dan peningkatan pengetahuan klien tentang Obat AntiTuberkulosis. Karya ilmiah ini diharapkan menjadi gambaran bagi perawatmedikal bedah dalam pemberian asuhan keperawatan pada pasien dengan TBparu.ABSTRACT Tuberculosis TB is one of the disease that caused high mortality inIndonesia The aim of this paper is to analyze nursing care on TB patient usingconcept of urban nursing Nursing problem that occur were in effective airwayclearance intolerance activity and inadequate knowledge about TB treatment Nursing interventions that were given semifowler position active ROM andhealth education about TB treatment The result shown improvement on airwayclearance independent activity and better client rsquo s knowledge about tuberculosismedication The outcome of this nursing care can be used to improve the qualityof nursing care for TB patient in the hospital Keyword Adherence TB patient nursing;Tuberculosis TB is one of the disease that caused high mortality inIndonesia The aim of this paper is to analyze nursing care on TB patient usingconcept of urban nursing Nursing problem that occur were in effective airwayclearance intolerance activity and inadequate knowledge about TB treatment Nursing interventions that were given semifowler position active ROM andhealth education about TB treatment The result shown improvement on airwayclearance independent activity and better client rsquo s knowledge about tuberculosismedication The outcome of this nursing care can be used to improve the qualityof nursing care for TB patient in the hospital Keyword Adherence TB patient nursing;Tuberculosis TB is one of the disease that caused high mortality inIndonesia The aim of this paper is to analyze nursing care on TB patient usingconcept of urban nursing Nursing problem that occur were in effective airwayclearance intolerance activity and inadequate knowledge about TB treatment Nursing interventions that were given semifowler position active ROM andhealth education about TB treatment The result shown improvement on airwayclearance independent activity and better client rsquo s knowledge about tuberculosismedication The outcome of this nursing care can be used to improve the qualityof nursing care for TB patient in the hospital Keyword Adherence TB patient nursing;Tuberculosis TB is one of the disease that caused high mortality inIndonesia The aim of this paper is to analyze nursing care on TB patient usingconcept of urban nursing Nursing problem that occur were in effective airwayclearance intolerance activity and inadequate knowledge about TB treatment Nursing interventions that were given semifowler position active ROM andhealth education about TB treatment The result shown improvement on airwayclearance independent activity and better client rsquo s knowledge about tuberculosismedication The outcome of this nursing care can be used to improve the qualityof nursing care for TB patient in the hospital Keyword Adherence TB patient nursing, Tuberculosis TB is one of the disease that caused high mortality inIndonesia The aim of this paper is to analyze nursing care on TB patient usingconcept of urban nursing Nursing problem that occur were in effective airwayclearance intolerance activity and inadequate knowledge about TB treatment Nursing interventions that were given semifowler position active ROM andhealth education about TB treatment The result shown improvement on airwayclearance independent activity and better client rsquo s knowledge about tuberculosismedication The outcome of this nursing care can be used to improve the qualityof nursing care for TB patient in the hospital Keyword Adherence TB patient nursing]"