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"Tidur merupakan salah satu kebutuhan dasar manusia yang seharusnya dipenuhi secara kuantitas dan kualitas. Kehamilan menjadi salah satu faktor predisposisi individu mengalami masalah tidur karena adanya perubahan fisik dan fisiologis. Faktor tempat tinggal seperti di wilayah perkotaan juga dapat menjadi pemicu munculnya masalah tidur. Salah satu masalah keperawatan yang dapat muncul yaitu insomnia. Penatalaksanaan masalah tidur dapat dilakukan secara farmakologi dan nonfarmakologi. Adanya efek samping obat yang ditimbulkan bagi kehamilan menyebabkan penatalaksanaan nonfarmakologi lebih diutamakan pada ibu hamil. Karya tulis ilmiah ini bertujuan untuk menganalisis intervensi sleep hygiene dan relaksasi otot progresif untuk meningkatkan kualitas tidur pasien ibu A. Karya tulis ilmiah ini menggunakan metode studi kasus dengan melakukan intervensi selama satu minggu. Intervensi diberikan dengan melakukan edukasi, demonstrasi, serta evaluasi dari pelaksanaan intervensi oleh pasien. Hasil intervensi menunjukan terjadi peningkatan kualitas tidur yang ditunjukan dengan penurunan nilai PSQI 10 menjadi 7 dari total nilai 21. Sleep hygiene dan relaksasi otot progresif yang dilakukan secara teratur dapat menciptakan kebiasaan jam tidur, meningkatkan kenyamanan, dan menginduksi tidur sehingga pola tidur menjadi lebih teratur.

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Sleep is one of the basic human need that should be meet in quantity and quality. Pregnancy become one of the predisposing factors of individuals experiencing sleep problems due to physical and physiological changes. Another factor such as residence in urban area also can be a trigger of sleep problems. One of the nursing diagnoses that can arise is insomnia. Sleep problems can be done with pharmacological and nonpharmacological management. Nonpharmacological management is preffered for pregnant women because of the side effects of drug in pregnancy.

This scientific paper aims to analyze the intervention of sleep hygiene and progressive muscular relaxation PMR to improve sleep quality in Mrs. A. This scientific paper use case study method with one week intervention. Implementation in done by providing education, demonstration, and evaluation of the intervention that performed by the patient during one week.

The result of intervention showed an increase in sleep quality that indicated by a decrease in PSQI value from 10 become 7 with total value is 21. Sleep hygiene and PMR that performed regularly can create sleep habits, improve comfort, and induce sleep so that sleep patterns become more regular."

"Ibu hamil pekerja merupakan masalah yang sangat khas terjadi pada masyarakat perkotaan. Hal ini dianggap penting mengingat ibu hamil yang bekerja dapat berisiko mengalami komplikasi kehamilan dan persalinan. Karya ilmiah ini dilakukan untuk mengetahui asuhan keperawatan pada klien dengan ibu hamil pekerja dari periode antenatal hingga postnatal. Berbagai masalah keperawatan yang ditemukan pada klien kelolaan pada masa antenatal (ansietas dan kesiapan meningkatkan nutrisi) hingga postnatal (risiko infeksi dan kesiapan meningkatkan pemberian ASI). Menyusui eksklusif seringkali menjadi kendala bagi ibu postnatal yang kembali bekerja. Implementasi yang dilakukan selama 3 kali (1 kali di RSUPN Cipto Mangunkusumo dan 2 kali kunjungan rumah) pertemuan untuk mengatasi masalah tersebut yaitu memberikan edukasi dan demonstrasi perawatan payudara, pemerahan dan penyimpanan ASI. Evaluasi dari tindakan tersebut adalah klien mampu memerah dan menyusui bayinya sehingga masalah kesiapan meningkatkan pemberian ASI dapat teratasi.

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Pregnant workers are very typical problem occurs in urban communities. This issue is considered as crucial since pregnant workers are able to risk of pregnancy and labor complications. This report aimed to analyze nursing care to clients with pregnant worker from prenatal to postnatal period. Various nursing problems found in client during prenatal period (anxiety and readiness to increase nutrition) until postnatal (risk of infection and readiness for increase breastfeeding).

Exclusive breastfeeding was frequently become problem among mother in postnatal period whom start working. Implementations were done in three times (one time in Cipto Mangunkusumo and twice by home visit), to overcome the identified problems by giving patient education and demonstrating steps of breast care, milking and keeping of breast milk. The evaluation of the interventions was client become able of milking and breastfeed her baby, thus problem of readiness for increases breastfeeding could be solved."

"Ibu hamil pekerja merupakan masalah yang sangat khas terjadi pada masyarakat perkotaan. Hal ini dianggap penting mengingat ibu hamil yang bekerja dapat berisiko mengalami komplikasi kehamilan dan persalinan. Karya ilmiah ini dilakukan untuk mengetahui asuhan keperawatan pada klien dengan ibu hamil pekerja dari periode antenatal hingga postnatal. Berbagai masalah keperawatan yang ditemukan pada klien kelolaan pada masa antenatal (ansietas dan kesiapan meningkatkan nutrisi) hingga postnatal (risiko infeksi dan kesiapan meningkatkan pemberian ASI). Menyusui eksklusif seringkali menjadi kendala bagi ibu postnatal yang kembali bekerja. Implementasi yang dilakukan selama 3 kali (1 kali di RSUPN Cipto Mangunkusumo dan 2 kali kunjungan rumah) pertemuan untuk mengatasi masalah tersebut yaitu memberikan edukasi dan demonstrasi perawatan payudara, pemerahan dan penyimpanan ASI. Evaluasi dari tindakan tersebut adalah klien mampu memerah dan menyusui bayinya sehingga masalah kesiapan meningkatkan pemberian ASI dapat teratasi.

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Pregnant workers are very typical problem occurs in urban communities. This issue is considered as crucial since pregnant workers are able to risk of pregnancy and labor complications. This report aimed to analyze nursing care to clients with pregnant worker from prenatal to postnatal period. Various nursing problems found in client during prenatal period (anxiety and readiness to increase nutrition) until postnatal (risk of infection and readiness for increase breastfeeding).

Exclusive breastfeeding was frequently become problem among mother in postnatal period whom start working. Implementations were done in three times (one time in Cipto Mangunkusumo and twice by home visit), to overcome the identified problems by giving patient education and demonstrating steps of breast care, milking and keeping of breast milk. The evaluation of the interventions was client become able of milking and breastfeed her baby, thus problem of readiness for increases breastfeeding could be solved."

"[ABSTRAKKehamilan ODHA (Orang Dengan HIV/AIDS) merupakan fenomena masalah kesehatan perkotaan. Asuhan keperawatan pada periode perinatal untuk perempuan dengan ODHA memiliki perbedaan dengan asuhan keperawatan kehamilan pada umumnya. Dalam analisis praktik keperawatan ini ditemukan bahwa cemas/ansietas terhadap kondisi kehamilan merupakan masalah keperawatan utama yang disebabkan oleh kurangnya informasi yang dibutuhkan oleh klien selama menjalani kehamilannya. Masalah lain yang muncul adalah risiko terjadi transmisi penularan HIV dari ibu ke bayi serta risiko lahir prematur dan kecacatan pada bayi. Program pencegahan penularan HIV dari ibu ke bayi, dikenal dengan nama Prevention of Mother-to-Child Transmission of HIV (PMTCT). Program PMTCT pada dasarnya adalah suatu usaha untuk mencegah terjadinya penularan HIV dari ibu kepada bayinya. Karya ilmiah ini telah menunjukkan bahwa intervensi PMTCT terkait pencegahan transmisi HIV dari ibu ke bayi dapat membantu klien dalam mengurangi kecemasannya pada kehamilan ODHA dan meningkatkan pengetahuan ibu.

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ABSTRACTPregnancy with Acute Immune Deficiency Syndrome (HIV/AIDS) is a phenomenon of urban health problems. Nursing care in the perinatal period to the women with HIV has differences with other nursing care in pregnancy. By this analysis of nursing practices, it is found that the anxiety during pregnancy condition has caused a major nursing problem due to lack of information needed by the client. Other problems that arises is the risk of the HIV transmission from mother to baby, the risk of premature birth and disability in infants. A programs to prevent HIV transmission from mother to baby is known as PMTCT ( Prevention of Mother-to-Child Transmission of HIV). PMTCT program is basically an attempt to prevent the transmission of HIV from mothers to their babies. This scientific work has shown that PMTCT interventions to prevent HIV transmission from mother to infant reduce the anxiety level in pregnancy with HIV/AIDS and improve the mother's knowledge., regnancy with Acute Immune Deficiency Syndrome (HIV/AIDS) is a phenomenon of urban health problems. Nursing care in the perinatal period to the women with HIV has differences with other nursing care in pregnancy. By this analysis of nursing practices, it is found that the anxiety during pregnancy condition has caused a major nursing problem due to lack of information needed by the client. Other problems that arises is the risk of the HIV transmission from mother to baby, the risk of premature birth and disability in infants. A programs to prevent HIV transmission from mother to baby is known as PMTCT ( Prevention of Mother-to-Child Transmission of HIV). PMTCT program is basically an attempt to prevent the transmission of HIV from mothers to their babies. This scientific work has shown that PMTCT interventions to prevent HIV transmission from mother to infant reduce the anxiety level in pregnancy with HIV/AIDS and improve the mother's knowledge.]"

"Ibu hamil pekerja merupakan fenomena kehidupan masyarakat daerah perkotaan yang menuntut wanita ikut berperan dalam mendukung ekonomi keluarga untuk memenuhi kebutuhan hidup sehari-hari. Stress terhadap beban kerja di kantor, urusan rumah tangga dan aktivitas kantor yang melelahkan menjadi faktor risiko bagi ibu hamil pekerja untuk melahirkan bayi prematur dan BBLR. Karya ilmiah ini dilakukan untuk mengetahui asuhan keperawatan pada klien ibu hamil pekerja (Ny. R 27 tahun) pada periode antepartum hingga postpartum. Berbagai masalah keperawatan ditemukan selama periode antepartum hingga postpartum. Diskontinuitas pemberian ASI menjadi masalah keperawatan utama karena terjadinya pemisahan ibu dengan bayi akibat kondisi prematuritas dan BBLR pada bayi. Hasil pengkajian didapatkan klien kurang mendapatkan informasi mengenai perawatan payudara, teknik memerah ASI, dan penyimpanan ASI. Implementasi yang dilakukan selama 3 kali (1 kali di RSUPN Cipto Mangunkusumo dan 2 kali kunjungan rumah) pertemuan untuk mengatasi masalah tersebut yaitu melakukan edukasi dan demonstrasi cara perawatan payudara, teknik memerah ASI, dan penyimpanan ASI. Evaluasi dari tindakan tersebut adalah klien mampu melakukan perawatan payudara, memerah ASI dengan benar, dan mengetahui cara penyimpanan ASI.

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Pregnant worker is a phenomenon among urban communities in which women have a role in supporting the family economically to fulfill daily necessities. Stress on the office workload, household affairs, and tiring office activities become risk factors for pregnant worker to deliver preterm and low birth weight infants.

This report aimed to analyze nursing care to client with pregnant worker (Mrs. R, 27 years) from antenatal until postpartum period. Various nursing problems were found during antenatal until postpartum period. Interrupted breastfeeding was the major problem due to the separation of mother with the premature and low birth weight infant.

The assessment found that there was lacking of information about breast care, collecting and storing breast milk. The implementations were done in three times (once in Cipto Mangunkusumo hospital and twice by home visits) to resolve the identified problems by giving patient education and demonstrating breast care, collecting and storing breast milk. Evaluations of the interventions were client become able to perform breast care, to collect, and to store breast milk."

"Ketuban pecah dini umum terjadi pada kehamilan preterm. Ketuban pecah dini preterm ditandai dengan pecahnya selaput ketuban sebelum usia kehamilan 37 minggu, tidak ada kontraksi, dan terasa nyeri. Ketuban pecah dini preterm merupakan penyebab umum morbiditas dan mortalitas pada ibu maupun janin. Ibu hamil bekerja yang terpapar dengan lingkungan perkotaan menjadi faktor risiko terjadinya ketuban pecah dini. Karya ilmiah akhir ners ini membahas analisa masalah keperawatan dengan konsep terkait keperawatan kesehatan masyarakat perkotaan. Implementasi keperawatan mengacu pada diagnosa keperawatan yang muncul pada saat pemeriksaan antenatal dan postnatal. Pada evaluasi keperawatan, disimpulkan bahwa edukasi kesehatan merupakan intervensi utama yang dapat meningkatkan aspek kognitif dan psikomotor klien.

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Premature rupture of membranes is common in preterm pregnancy. Preterm premature rupture of membranes characterized by rupture of the membranes before 37 weeks' gestation, no contractions, and pain. Preterm premature rupture of membranes is a common cause of morbidity and mortality in mother and fetus. Pregnant women who are exposed to working with the urban environment be risk factors for premature rupture of membranes. This final scientific paper will explain about analysis nursing problems associated with the concept of urban public health nursing. Implementation of nursing refers to nursing diagnoses that appear during antenatal and postnatal. In nursing evaluation, concluded that health education is a major intervention that can improve cognitive and psychomotor aspects of the client."

"Kehamilan usia tua merupakan salah satu risiko masalah kesehatan masyarakat perkotaan. Hal ini disebabkan karena banyaknya komplikasi kehamilan pada usia tua. Karya Ilmiah Akhir Ners ini bertujuan untuk menganalisis asuhan keperawatan secara komprehensif dari prenatal hingga postnatal. Selama pengelolaan tersebut didapatkan beberapa masalah keperawatan. Diantaranya adalah cemas, risiko gangguan hubungan ibu dan bayi, risiko fetal distress dan kesiapan meningkatkan ASI. Intervensi yang dilakukan berfokus pada asuhan keperawatan keluarga dengan kerjasama pihak puskesmas. Berdasarkan hasil intervensi keperawatan, terjadinya komplikasi eklampsi dapat dicegah dan bayi lahir sehat.

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Pregnancy in older women is the one of risk in urban health problem. This is increase risks of pregnancy in older woman. The purpose of this report is analyze nursing care to client with old women pregnancy during prenatal until postnatal period. The risk of pregnancy like pre eklampsia, plasenta previa and etc caused higher mortality. Based on comprehensive report found several nursing diagnosis. These are anxiety, risk of disturb symbiosis mother and fetal, risk of fetal distress and readiness for enhanced breastfeeding. Interventions focused on family centered. The result is risk of eklampsia can be prevent during labor and there are not complication with baby."

"[Perempuan di wilayah perkotaan beresiko tinggi terkena HIV. Ibu hamil dengan HIV beresiko menularkan HIV kepada bayinya. Perawat maternitas berperan dalam memberikan asuhan keperawatan kepada ibu dengan HIV dalam mencegah penularan tersebut. Tujuan penulisan ini menggambarkan asuhan keperawatan pada ibu dengan HIV pada periode perinatal. Tujuan utama intervensi yang dilakukan adalah untuk pencegahan penularan kepada bayi diantaranya dengan memberikan pendidikan kesehatan tentang resiko pemberian ASI dan pentingnya minum obat ARV secara teratur. Intervensi khusus yang dilakukan untuk mengatasi masalah ketidakefektifan koping individu yaitu dengan memberikan dukungan sosial. Evaluasi menunjukkan bahwa dukungan sosial yang dilakukan masih perlu terus diberikan kepada pasien dan keluarganya untuk mengatasi masalah psikososial ketidakefektifan koping individu terkait HIV;Women living in urban area are at higher risk of HIV infection. Pregnant women with HIV are risked to transmit HIV to their babies. A maternity nurse acts as a care provider to give a nursing intervention to pregnant women with HIV in order to prevent the transmission. This study aimed to describe maternity nursing intervention for mother with HIV on perinatal pregnancy. The main goal of nursing interventions given to the mother was to prevent mother to child HIV transmission by giving health education about the risk of breastfeeding and the important of taking ARV regularly as prescribed. A distinctive intervention to overcome ineffective individual coping strategy accomplished by giving social support. The result showed that social support still needs to be done given to patients and their families to overcome the ineffective individual coping psychosocial problems related to HIV., Women living in urban area are at higher risk of HIV infection. Pregnant women with HIV are risked to transmit HIV to their babies. A maternity nurse acts as a care provider to give a nursing intervention to pregnant women with HIV in order to prevent the transmission. This study aimed to describe maternity nursing intervention for mother with HIV on perinatal pregnancy. The main goal of nursing interventions given to the mother was to prevent mother to child HIV transmission by giving health education about the risk of breastfeeding and the important of taking ARV regularly as prescribed. A distinctive intervention to overcome ineffective individual coping strategy accomplished by giving social support. The result showed that social support still needs to be done given to patients and their families to overcome the ineffective individual coping psychosocial problems related to HIV.]"

"Kehamilan dengan HIV/AIDS merupakan fenomena masalah kesehatan perkotaan. Asuhan keperawatan pada periode preinatal untuk perempuan dengan HIV/AIDS memiliki perbedaan dengan asuhan keperawatan kehamilan pada umumnya. Karya ilmiah akhir ini menggunakan studi literatur dan studi kasus. Masalah keperawatan utama yang ditemukan pada karya ilmiah akhir ners ini adalah cemas akan risiko penularan HIV/AIDS dari ibu ke bayi serta pencegahannya. Karya ilmiah ini telah menunjukkan bahwa intervensi yang dilakukan terkait pencegahan transmisi HIV dari ibu ke bayi adalah dengan memberikan edukasi sehingga dapat membantu klien dalam mengurangi kecemasannya pada kehamilan dengan HIV/AIDS.

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Pregnancy with HIV / AIDS is a phenomenon of urban health problems. Nursing care in the perinatal period for women with HIV / AIDS have differences with pregnancy nursing care in general. This final scientific work using literature review and case studies. Major nursing problems found at the end of the scientific work nurses are worried about the risk of transmission of HIV / AIDS from mother to baby and prevention. This scientific work has shown that interventions related to the prevention of HIV transmission from mother to infant is to provide education that can assist clients in reducing anxiety in pregnancy with HIV / AIDS."

"[ABSTRAK Demam berdarah dengue (DBD) adalah penyakit infeksi akibat virus dengue yangditularkan oleh nyamuk aedes agypti. Sanitasi lingkungan yang buruk sertakurangnya perilaku hidup bersih dan sehat merupakan faktor utama yangmenyebabkan penyebaran DBD di masyarakat perkotaan. Studi kasus inibertujuan untuk menganalisis penerapan teknik napas dalam sebagai intervensiuntuk mengatasi mual yang sering ditemukan pada klien dengan DBD. Mualpada DBD terjadi akibat pembesaran hepar yang mendesak lambung. Hasil studimenunjukan respon positif klien terhadap intervensi manajemen mual berupaberkurangnya rasa mual, peningkatan toleransi terhadap makanan, peningkatanporsi makan, serta penurunan dosis terapi antiemetik yang diberikan. Hasil karyailmiah ini diharapkan dapat menjadi pertimbangan bagi perawat untukmenerapkan penggunaan teknik napas dalam sebagai intervensi nonfarmakologidalam upaya mengatasi mual; ABSTRACT Dengue hemorrhagic fever (DHF) is an infectious disease due to dengue virus

which is transmitted by Aedes aegypti. Poor sanitation and lack of clean and

healthy lifestyle are the main factors causing the spread of DHF in urban

communities. This case study aims to analyze the application of deep breathing

technique as intervention for nausea which commonly occured in DHF clients.

Nausea in DHF is caused by enlargement of the liver that pressing stomach.

Results of this study show a positive response of the clients to nausea

management intervention manifested by nausea reduction, increase of food?s

tolerance, increase of meal?s portion, as well as dose reduction of given antiemetic

therapy. The results of this scientific work are expected as consideration for all

nurses to encourage the use of Deep breathing techniques as a nonpharmacological

intervention in an attempt to overcome nausea.;Dengue hemorrhagic fever (DHF) is an infectious disease due to dengue virus

which is transmitted by Aedes aegypti. Poor sanitation and lack of clean and

healthy lifestyle are the main factors causing the spread of DHF in urban

communities. This case study aims to analyze the application of deep breathing

technique as intervention for nausea which commonly occured in DHF clients.

Nausea in DHF is caused by enlargement of the liver that pressing stomach.

Results of this study show a positive response of the clients to nausea

management intervention manifested by nausea reduction, increase of food?s

tolerance, increase of meal?s portion, as well as dose reduction of given antiemetic

therapy. The results of this scientific work are expected as consideration for all

nurses to encourage the use of Deep breathing techniques as a nonpharmacological

intervention in an attempt to overcome nausea.;Dengue hemorrhagic fever (DHF) is an infectious disease due to dengue virus

which is transmitted by Aedes aegypti. Poor sanitation and lack of clean and

healthy lifestyle are the main factors causing the spread of DHF in urban

communities. This case study aims to analyze the application of deep breathing

technique as intervention for nausea which commonly occured in DHF clients.

Nausea in DHF is caused by enlargement of the liver that pressing stomach.

Results of this study show a positive response of the clients to nausea

management intervention manifested by nausea reduction, increase of food?s

tolerance, increase of meal?s portion, as well as dose reduction of given antiemetic

therapy. The results of this scientific work are expected as consideration for all

nurses to encourage the use of Deep breathing techniques as a nonpharmacological

intervention in an attempt to overcome nausea., Dengue hemorrhagic fever (DHF) is an infectious disease due to dengue virus

which is transmitted by Aedes aegypti. Poor sanitation and lack of clean and

healthy lifestyle are the main factors causing the spread of DHF in urban

communities. This case study aims to analyze the application of deep breathing

technique as intervention for nausea which commonly occured in DHF clients.

Nausea in DHF is caused by enlargement of the liver that pressing stomach.

Results of this study show a positive response of the clients to nausea

management intervention manifested by nausea reduction, increase of food’s

tolerance, increase of meal’s portion, as well as dose reduction of given antiemetic

therapy. The results of this scientific work are expected as consideration for all

nurses to encourage the use of Deep breathing techniques as a nonpharmacological

intervention in an attempt to overcome nausea.]"