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"[ABSTRAKHirschsprung merupakan kelainan konginetal yang dapat menimbulkan gangguan eliminasi feses dan membutuhkan tindakan operasi yang disertai dengan nyeri akut pada anak. Manajemen nyeri yang tepat diperlukan untuk mengatasi respon nyeri pada anak, sehingga perlu dilakukan studi yang bertujuan untuk mengetahui pengaruh terapi musik terhadap respon nyeri anak dengan studi kasus pada satu pasien dan penilaian skor nyeri anak dilakukan dengan menggunakan skala ukur nyeri FLACC. Terapi musik dilakukan selama empat hari secara stimultan dengan durasi terapi tidak kurang dari 20 menit. Hasil studi menunjukkan bahwa terjadi penurunan skor respon nyeri anak dari 5 menjadi 3. Hasil studi juga memberikan rekomendasi bahwa perlu dilakukannya studi lebih lanjut tentang hubungan pemberian terapi musik terhadap anak dengan post operasi Duhamel dengan metode yang berbeda.

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ABSTRACTHirschsprung disease is defined as conginetal absence that causes feces elimination failure which requires sugery that characterized with acute pain among children. The appropriate pain management is required to decrease the pain, so that the study was aimed to identify effect of music therapy on post Duhamel surgery pain is required. This metodology of this study was case study on one patient and used FLACC as a pain assesment scale. Music therapy was conducted for 4 days, simultaneously, and its long duration of music therapy is not less than 20 minutes. Results showed that FLACC score decreased from 5 to 3. This study also give a recommendation that the relationship of music therapy on postoperative pain in patients with Duhamel prosedure in the hospital is required for further research with a different methodology, Hirschsprung disease is defined as conginetal absence that causes feces elimination failure which requires sugery that characterized with acute pain among children. The appropriate pain management is required to decrease the pain, so that the study was aimed to identify effect of music therapy on post Duhamel surgery pain is required. This metodology of this study was case study on one patient and used FLACC as a pain assesment scale. Music therapy was conducted for 4 days, simultaneously, and its long duration of music therapy is not less than 20 minutes. Results showed that FLACC score decreased from 5 to 3. This study also give a recommendation that the relationship of music therapy on postoperative pain in patients with Duhamel prosedure in the hospital is required for further research with a different methodology]"

"[Kanker kolorektal merupakan kondisi keganasan pada kolon dan rektum yang dapat menimbulkan masalah baik secara fisik maupun psikologis Karya ilmiah ini bertujuan untuk menggambarkan analisis praktik klinik keperawatan kesehatan masyarakat perkotaan pada pasien dengan kanker kolorektal Dalam karya ilmiah ini digunakan metode intervensi sesuai Nursing Intervention Classification dengan melibatkan satu pasien dengan kanker kolorektal Hasil analisis dari studi literatur dan intervensi yang dilakukan menunjukkan bahwa kanker kolorektal yang dapat dipicu oleh gaya hidup masyarakat perkotaan dapat menimbulkan masalah ansietas yang berdampak pada penurunan kualitas hidup pasien Teknik penurunan ansietas berupa pendidikan preoperatif dan peningkatan koping menjadi intervensi yang direkomendasikan dalam mengatasi masalah psikologis pasien dengan kanker kolorektal ;Colorectal cancer is malignant condition in colon and rectum that could cause problems in both physically and psychologically This study aimed to describe the analysis of clinical practice in urban health nursing This study used intervention methodes based on Nursing Intervention Classification which evaluated one patient The result of analysis that based on literature review and intervention indicated that colorectal cancer which could be the impact of urban community rsquo s life style could make anxiety problem and lead to decrease patient rsquo s quality of life Interventions of anxiety reduction such as teaching preoperative and coping enhancement were recommended to solve psychological problems ini patient with colorectal cancer ;Colorectal cancer is malignant condition in colon and rectum that could cause problems in both physically and psychologically This study aimed to describe the analysis of clinical practice in urban health nursing This study used intervention methodes based on Nursing Intervention Classification which evaluated one patient The result of analysis that based on literature review and intervention indicated that colorectal cancer which could be the impact of urban community rsquo s life style could make anxiety problem and lead to decrease patient rsquo s quality of life Interventions of anxiety reduction such as teaching preoperative and coping enhancement were recommended to solve psychological problems ini patient with colorectal cancer , Colorectal cancer is malignant condition in colon and rectum that could cause problems in both physically and psychologically This study aimed to describe the analysis of clinical practice in urban health nursing This study used intervention methodes based on Nursing Intervention Classification which evaluated one patient The result of analysis that based on literature review and intervention indicated that colorectal cancer which could be the impact of urban community rsquo s life style could make anxiety problem and lead to decrease patient rsquo s quality of life Interventions of anxiety reduction such as teaching preoperative and coping enhancement were recommended to solve psychological problems ini patient with colorectal cancer ]"

"Penyakit Demam berdarah dengue (DBD) merupakan salah satu masalah kesehatan yang sering terjadi di daerah perkotaan. Pasien DBD biasanya mengalami demam tinggi selama 4 sampai 5 hari. Tanda lainnya ialah nyeri ulu hati, mual, petekie, gusi berdarah dan melena. Untuk memantau kondisi pasien perlu dilakukan pemeriksaan nilai laboratorium secara teratur. Prosedur pengambilan darah dan pemasangan infus dapat memberikan rasa nyeri pada pasien. Tujuan penulisan ini ialah melakukan analisis evidence based practice mengenai pemberian terapi madu pada anak. Hasil dari pemberian madu terbukti dapat menurunkan skala nyeri pada pasien anak yang berusia satu sampai lima tahun. Oleh karena itu, sebaiknya perawat memberikan terapi madu kepada pasien anak sebelum dilakukan tindakan invasif.

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Dengue hemorrhagic fever (DHF) is one of diseases that often occur in urban areas. DHF patients usually experience high fever for 4 to 5 days, accompanied by signs such as heart burn, nausea, petechiae, bleeding gums and melena. The result of labolatory diagnostic test related to the disease is necessary to be observed regularly. Blood sampling procedures and the procedure of setting up the intravein catheter can give pain for pediatric patients. The aim of this paper is to analyze evidence based practice on the effectiveness of honey therapy for overcome the pain. This paper proved that honey treatment is effective to lower the pain scale in pediatric patients aged one to five years. Therefore, honey therapy is necessary to be given by nurse to pediatric patient before doing invasive procedures."

"[ABSTRAKMasalah kesehatan masyarakat menjadi perhatian utama, khususnya bagi pelayanankesehatan. Salah satu dari masalah kesehatan yang muncul adalah penyakit infeksiseperti tetanus. Miliaria merupakan salah satu manifestasi klinis yang disebabkanoleh bakteri tetanus. Miliaria terjadi akibat dari produksi keringat yang berlebih,sehingga menyebabkan tersumbatnya kelenjar keringat pada kulit. Studi kasus yangdilakukan bertujuan untuk mengidentifikasi keefektifan virgin coconut oil (VCO)dalam mengatasi miliaria pada pasien tetanus. Metode yang digunakan adalahobservasi sebelum dan setelah pemberian. Setelah 6 hari perawatan dengan VCOmenunjukkan penurunan pada jumlah miliaria. VCO terbukti efektif untukmenurunkan miliaria. Penerapan VCO pada miliaria dari penyakit lain danmenganalisis hasil pada pasien yang berbeda penting untuk aplikasi perawatanselanjutnya.

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ABSTRACTPublic health problem is one of the major concerns, especially for health careprovider. One of the health problems that arise are infectious diseases such astetanus. Miliaria is one of the clinical manifestations caused by the tetanus bacteria.Miliaria occur as a result of excessive sweat production, causing blockage of sweatglands in the skin. The case study was carried out aiming to identify the effectivenessof virgin coconut oil (VCO) in overcoming miliaria tetanus patients. The method usedwas observation before and after administration. The result after 6 days of treatmentwith VCO showed decrease in the number of miliaria. VCO was proven effective forlowering miliary. The used of VCO in miliaria caused by other diseases and analyzedthe result is important to increase health care for patients. ;Public health problem is one of the major concerns, especially for health careprovider. One of the health problems that arise are infectious diseases such astetanus. Miliaria is one of the clinical manifestations caused by the tetanus bacteria.Miliaria occur as a result of excessive sweat production, causing blockage of sweatglands in the skin. The case study was carried out aiming to identify the effectivenessof virgin coconut oil (VCO) in overcoming miliaria tetanus patients. The method usedwas observation before and after administration. The result after 6 days of treatmentwith VCO showed decrease in the number of miliaria. VCO was proven effective forlowering miliary. The used of VCO in miliaria caused by other diseases and analyzedthe result is important to increase health care for patients. , Public health problem is one of the major concerns, especially for health careprovider. One of the health problems that arise are infectious diseases such astetanus. Miliaria is one of the clinical manifestations caused by the tetanus bacteria.Miliaria occur as a result of excessive sweat production, causing blockage of sweatglands in the skin. The case study was carried out aiming to identify the effectivenessof virgin coconut oil (VCO) in overcoming miliaria tetanus patients. The method usedwas observation before and after administration. The result after 6 days of treatmentwith VCO showed decrease in the number of miliaria. VCO was proven effective forlowering miliary. The used of VCO in miliaria caused by other diseases and analyzedthe result is important to increase health care for patients. ]"

"Pembangunan fisik perkotaan yang semakin meningkat menyebabkan kejadian kecelakaan, terutama pada anak di daerah perkotaan, semakin meningkat dari tahun ke tahun. Kejadian kecelakaan ini menimbulkan berbagai masalah kesehatan, salah satunya adalah fraktur. Anak yang mengalami fraktur rentan mengalami kerusakan tumbuh kembang jika tidak diatasi segera mungkin. Salah satu manifestasi fraktur adalah nyeri akut. Karya ilmiah ini bertujuan untuk menggambarkan asuhan keperawatan pada anak yang mengalami fraktur. Karya ilmiah ini juga menerapkan terapi nonfarmakologis berupa terapi bacaan Al-Qur’an dengan media audio. Berdasarkan hasil penelitian, didapatkan hasil bahwa anak yang mengalami fraktur sering mengalami nyeri dan respon nyeri tersebut dapat dikurangi dengan mengaplikasikan terapi bacaan Al-Qur’an melalui media audio pada anak yang mengalami fraktur.

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The escalating of urban physical development cause many accidents, especially which involve children in urban areas, increase from years to years. Those accidents invoke a lot of health problems, one of the problem is fracture. Any child who gets fracture is vulnerable to experience growth damage if the problem is not handled as soon as possible. One impact of fracture is severe pain.

This thesis attempts to describe how nursing care is carried on to child who gets fracture. This thesis applies non-farmacology therapy by listening to Al-Qur’an recitation on audio media. Based on the research, any child who gets fracture tends to experience severe pain and such pain can be decreased by applying Al-Qur’an recitation therapy through audio media to the child."

"Leukemia adalah proliferasi sel darah putih yang masih imatur dalam jaringan pembentuk darah. Kemoterapi merupakan salah satu pengobatan dari leukemia. Efek yang paling umum dari kemoterapi adalah mual dan muntah. Tujuan Penulisan dari karya ilmiah ini adalah untuk memberikan gambaran asuhan keperawatan pada anak yang menderita leukemia limphoblastik akut yang mengalami mual akibat kemoterapi, dengan mengaplikasikan teknik distraksi (terapi musik) untuk menurunkan rasa mual. Terapi musik yang dilakukan pada anak menunjukkan hasil rasa mual berkurang. Disarankan agar terapi musik dapat diterapkan sebagai intervensi keperawatan dalam menangani pasien yang mengalami mual akibat kemoterapi.

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Leukemia is a proliferation of white blood cells that are still in the immature blood-forming tissues. Chemotherapy is one of terapy for leukemia. The most common effects of chemotherapy are nausea and vomitting. The aim of this study to provide an overview of nursing care in children with acute leukemia limphoblastik who experience nausea due to chemotherapy, by applying the technique of distraction (music therapy). Music therapy is performed in children showed reduce nausea. It is suggested that music therapy can be applied as a nursing intervention in dealing with patients who experience nausea due to chemotherapy."

"ABSTRAKPerubahan gaya hidup masyarakat perkotaan dapat meningkatkan risiko diabetes melitus yang berpengaruh terhadap terjadinya luka dan mengakibatkan luka cepat memburuk dan sulit sembuh. Luka tekan merupakan kondisi akibat dari tekanan pada daerah tertentu dalam jangka waktu yang cukup lama. Karya ilmiah ini bertujuan menggambarkan efektifitas perawatan luka dengan balutan lembab (moist) dan pencegahan risiko luka tekan dengan skala Braden, menggunakan metode studi kasus. Perawatan luka dengan konsep moist, dan pencegahan risiko luka tekan dengan menggunakan skala Braden terbukti efektif dalam perawatan luka tekan serta membantu mempercepat proses penyembuhan luka diharapkan menjadi upaya yang perlu dipertimbangkan dalam manajemen dan penangan luka tekan.

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ABSTRACTLifestyle changes in urban community could increase the risk of diabetes mellitus that caused a wound and make in faster wound deteriorating and difficult to heal. Pressure ulcer is caused by prolonged pressure in certain areas. The aim of this paper was to describe the effectiveness of moist wound care and prevention of pressure ulcer risk using Braden scale. The concept of moist wound care, and prevention the risk of pressure ulcer using the Braden scale proved to be effective in the treatment of pressure ulcer and help accelerate the wound healing process. Wound care with moist concept and prevention using Braden scale should be addressed for pressure ulcer management."

"Osteoartritis merupakan penyakit degeneratif sendi yang dapat mempengaruhi kualitas hidup terutama pada pasien lansia. Lansia yang mengalami osteoarthritis mengeluh nyeri pada lutut sehingga sulit digunakan untuk berjalan. Salah satu tindakan pembedahan untuk mengurangi nyeri pada osteoarthritis yaitu Total Knee Replacement TKR . Peran keperawatan sebelum dan sesudah pembedahan TKR mengutamakan pada promosi kesehatan. Perawat memberikan asuhan keperawatan dengan melakukan latihan ambulasi dini. Hasil latihan ini klien mampu melakukan ambulasi dari tempat tidur hingga jalan menggunakan walker pada hari kedua. Salah satu faktor yang mendukung klien mampu melakukan mobilisasi dengan cepat dikarenakan rasa nyeri yang sudah berkurang dan adanya dukungan keluarga

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Osteoarthritis is a degenerative disease of joints that can affect the quality of life, especially in elderly patients. Elderly people with osteoarthritis complain of knee pain, making it difficult to walk. One of the surgical measures to reduce pain in osteoarthritis is Total Knee Replacement TKR . The role of nursing before and after TKR surgery is prioritized on health promotion. Nurses provide nursing care by doing early ambulation exercises. The results of this exercise the client is able to ambulate from bed to walkway using the walk on the second day. One factor that supports the client is able to mobilize quickly due to the pain that has been reduced and the support of the family."

"Prosedur penggantian sendi lutut Total Knee Replacement dilakukan pada penderita Osteoarthritis yang tidak dapat ditangani dengan metode non-pembedahan. Setelah dilakukan prosedur pembedahan, klien umumnya akan mengalami nyeri akut yang menjadi salah satu masalah keperawatan yang muncul pada klien post operasi. Nyeri akut dapat ditangani secara farmakologi menggunakan obat-obatan analgesic sesuai dengan tingkat nyeri dan secara non-farmakologi menggunakan beberapa terapi modalitas. Salah satu terapi modalitas yang banyak digunakan untuk mengurangi nyeri yaitu teknik relaksasi nafas dalam. Teknik relaksasi nafas dalam dengan perhitungan 4-2-8 tarik nafas selama empat detik, tahan dua detik, dan hembuskan selama delapan detik terbukti dalam memberikan efeknya terhadap penurunan skala nyeri dan meningkatkan kenyamanan pada klien post pembedahan penggantian sendi lutut yang dibahas pada penulisan karya ilmiah ini.

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Total Knee Replacement procedure is performed on Osteoarthritis patients who can not be treated by non-surgical methods. After the surgical procedure is done, the client will generally experience acute pain which is becomes one of the nursing problems that appear on postoperative clients. Acute pain can be treated pharmacologically using analgesic medication according to the level of pain and non-pharmacologically using some of modallities therapies.

One of the many modallities therapies used to reduce pain is deep breathing relaxation technique. The deep breathing relaxation technique with 4-2-8 calculations breath for four seconds, hold for two seconds, and exhale for eight seconds is proven to have an effect to decrease the pain scale and improve comfort of the postoperative total knee replacement surgical clients which is discussed on this scientific paper."

"Analisis Implementasi Asuhan Keperawatan dengan Pendekatan Keperawatan Kesehatan Masyarakat Perkotaan dan Intervensi Hipnosis pada Pasien Diabetes Mellitus Tipe 2 dengan Gangguan Pola Tidur di Ruang Rawat Inap Lantai 6 Utara Gedung Teratai RSUP Fatmawati rdquo;Angka kejadian diabetes melitus meningkat setiap tahunnya. Neuropatik merupakan komplikasi tersering diabetes melitus yang ditandai dengan adanya nyeri yang memburuk pada malam hari sehingga menyebabkan masalah gangguan tidur. Intervensi yang dapat digunakan untuk mengatasi gangguan tidur adalah terapi hipnosis. Hipnosis adalah proses membimbing klien untuk relaks. Karya ilmiah ini bertujuan memberikan gambaran asuhan keperawatan pada pasien DM dengan gangguan pola tidur akibat nyeri neuropati dengan intervensi Hipnosis. Intervensi ini diterapkan selama 3 hari dengan durasi 20 menit. Hasil evaluasi didapatkan adanya peningkatan kualitas tidur. Oleh karena itu intervensi hipnosis ini sangat direkomendasikan untuk diterapkan di pelayanan keperawatan. Kata Kunci : Diabetes mellitus, neuropati, tidur, hipnosis

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Analysis of Urban Health Clinical Nursing Practice on Type 2 Diabetes Mellitus Patient Who Experience sleep patterns Disruption through Hipnosis Intervention in 6th North Floor Fatmawati Central General Hospital rdquo The incidence of diabetes mellitus is always increasing every year. Neuropathic is a common complication of diabetes mellitus that characterized by pain which worsened at night and causing sleep problems. One of the interventions that can be used to treat sleep disorders is hypnosis therapy. Hypnosis is the guiding processthat help client to relax. This paper aims to provide an overview of nursing care in diabetic patients with sleep disorders due to neuropathy pain with hypnosis intervention. This intervention is applied for 3 days and the duration of interventionis 20 minutes. The result shows a good improvements in the sleep quality of the patient. Therefore hypnosis therapy intervention is highly recommended to be applied in nursing services. "