Hasil Pencarian  ::  Simpan CSV :: Kembali

"Diabetes melitus merupakan penyakit metabolik kronis dengan prevalensi yang terus meningkat setiap tahunnya. Pasien diabetes melitus berisiko mengalami komplikasi mikrovaskular dan makrovaskular. Salah satu komplikasi makrovaskular pada pasien diabetes melitus adalah penyakit arteri perifer (PAD) yang berkontribusi pengembangan penyakit ulkus kaki diabetik. Latihan fisik sebagai salah satu manajemen non farmakologi pada Penyakit arteri perifer. Buerger allen exercise (BAE) merupakan latihan yang bertujuan untuk meningkatkan perfusi perifer ke kaki. Buerger allen exercise diterapkan dalam dua kali sehari selama lima hari perawatan dan dilakukan rutin pada pasien untuk mengatasi masalah keperawatan perfusi perifer tidak efektif. Evaluasi dari latihan ini adalah pengukuran ankle-brachial index untuk menilai perfusi pada kaki. Hasil yang didapatkan terdapat kenaikan ankle-brachial index pada kaki kanan 0.88 menjadi 1.03 dan untuk kaki kiri 0.87 menjadi 1.01. Kesimpulan dari hasil penerapan intervensi buerger allen exercise dapat mengatasi masalah perfusi perifer tidak efektif dibuktikan dengan peningkatan pada nilai ankle brachial index.

---

Diabetes mellitus is a chronic metabolic disease with a prevalence that continues to increase every year. Diabetes mellitus patients are at risk of experiencing microvascular and macrovascular complications. One of the macrovascular complications in diabetes mellitus patients is peripheral arterial disease (PAD), which contributes to the development of diabetic foot ulcers. Physical exercise as a non-pharmacological management of peripheral arterial disease. Buerger Allen Exercise (BAE) is an exercise that aims to increase peripheral perfusion to the feet. The Buerger Allen exercise is applied twice daily for five days of treatment and is carried out routinely on patients to overcome the problem of ineffective peripheral perfusion nursing. The evaluation of this exercise is the measurement of the ankle-brachial index to assess perfusion in the foot. The results showed an increase in the ankle-brachial index for the right leg from 0.88 to 1.03 and for the left from 0.87 to 1.01. The conclusion from the results of implementing the Buerger Allen Exercise intervention can overcome the problem of ineffective peripheral perfusion as evidenced by an increase in the ankle-brachial index value."

"Fraktur merupakan dampak yang paling sering terjadi akibat cedera baik yang disebabkan karena kecelakaan lalu lintas maupun disebabkan karena penyebab lain seperti terjatuh. Salah satu manifestasi klinik yang disebabkan karena fraktur adalah nyeri. Penatalaksanaan nyeri pada fraktur dapat menggunakan terapi farmakologi dan terapi non-farmakologi. Studi kasus ini menganalisis asuhan keperawatan pada pasien dengan fraktur femoral neck dengan nyeri menggunakan terapi non-farmakologi berupa teknik relaksasi napas dalam. Hasil studi kasus penggunaan teknik relaksasi napas dalam dapat menurunkan nyeri yang ditimbulkan akibat fraktur.

---

Fracture is the common impact in accident that caused by traffic accident or other cause such as fall. One of clinical manifestation from fracture is pain. The pharmacology and non-pharmacological therapy can be used in pain management for the patient with fracture. This case study analizing the nursing care of patient with pain in femoral neck fracture by using non-pharmacological technique, deep breathing relaxation technique. The result of this case study show that the deep breathing relaxation technique can reduce the level of pain in patient with fracture."

"Kanker adalah proliferasi sel yang abnormal dan berlebihan. Salah satu gejala kanker adalah rasa sakit. Faktor penting dalam mengelola nyeri kanker adalah melakukan nyeri yang akurat penilaian termasuk intensitas, lokasi, durasi, kualitas rasa sakit, dan upaya untuk mengurangi rasa sakit. Penelitian ini bertujuan untuk mengidentifikasi rasa sakit berdasarkan demografi pada kanker pasien di RSUPN Dr Cipto Mangunkusumo. Penelitian ini menggunakan desain cross sectional dengan pengambilan sampel berurutan dan diaplikasikan pada 395 sampel, yaitu rekam medis PT pasien kanker di atas usia 17 tahun yang telah dirawat di RSUPN Dr Cipto Mangunkusumo sejak 2014 hingga 2019. Data dianalisis menggunakan proporsi. Hasil penelitian menunjukkan bahwa persentase wanita yang mengalami nyeri parah lebih tinggi daripada pria 51,1%. Kelompok usia 41-65 tahun memiliki rasa sakit yang lebih parah daripada kelompok lain dengan 50,6%. Jenis kanker paling menyakitkan yang ditemukan pada kanker leher dan kepala adalah 57,6%. Selagi kanker dengan kelompok stadium 4 memiliki rasa sakit yang lebih tinggi dibandingkan kelompok lain dengan 56,9%. Ini Studi merekomendasikan perlunya pedoman untuk penilaian nyeri, terutama di awal penilaian mengenai durasi, lokasi, dan kualitas nyeri sehingga penilaian nyeri bisa lebih akurat.

---

Cancer is an abnormal and excessive cell proliferation. One symptom of cancer is pain. Important factors in managing cancer pain are conducting accurate pain assessments including intensity, location, duration, quality of pain, and efforts to reduce pain. This study aims to identify pain based on demographics in cancer patients in Dr. Cipto Mangunkusumo General Hospital. This study used a cross sectional design with sequential sampling and was applied to 395 samples, namely the medical records of PT cancer patients over the age of 17 who had been treated at Dr Cipto Mangunkusumo General Hospital from 2014 to 2019. Data were analyzed using proportions.

The results showed that the percentage of women who experienced severe pain was higher than men 51.1%. The 41-65 year age group had more severe pain than the other group with 50.6%. The most painful type of cancer found in neck and head cancer is 57.6%. While cancers with the stage 4 group had higher pain than other groups with 56.9%. This study recommends the need for guidelines for pain assessment, especially in the initial assessment regarding the duration, location, and quality of pain so that pain assessment can be more accurate."

"Masyarakat perkotaan berisiko mengalami kecelakaan yang menyebabkan fraktur.  Peningkatan jumlah kendaraan  bermotor  dan  padatnya  populasi serta pola aktivitas masyarakat perkotaan yang serba terburu-buru menyebabkan fraktur seperti fraktur hip.  Salah satu upaya manajemen fraktur yaitu Total Hip Replacement (THR) yakni pergantian tulang  sendi  yang patah dengan protesis. Karya ilmiah ini disusun berdasarkan asuhan keperawatan yang dilakukan mahasiswa selama 3 minggu di lantai 4 Gedung A RS Ciptomangunkusumo Jakarta. Tulisan ini difokuskan pada pasien fraktur femur post Total Hip Replacement. Adapun teknik pengumpulan data yang digunakan meliputi wawancara, abservasi klien, catatan individu, rekam medik dan dokumentasi proses keperawatan yang dilakukan selama 4 hari (8-11 Mei 2019). Data yang telah dikumpul dianalisis untuk  melihat masalah keperawatan yang dialami klien serta meninjau keefektian intervensi edukasi pencegahan dislokasi yaitu memberikan pendidikan kesehatan kepada klien terkait hal apa yang perlu diperhatikan dan dihindari agar tidak terjadi dislokasi dan melakukan latihan kekuatan otot seperti : angkle pump, quad sets, glut sets, heel sets, dan short arc quad. Hasil yang didapatkan klien mampu melakukan latihan kekuatan otot dan mempercepat mobilisasi serta klien tidak terjadi dislokasi hip replacement. Latihan  kekuatan otot sangat bermanfaat untuk mencegah terjadinya dislokasi pada pasien post THR dan meningkatkan kekuatan otot dalam melakukan mobilisasi klien serta meminimalkan komplikasi dari fraktur. Dalam memberikan asuhan keperawatan pasien post THR perawat memberikan asuhan keperawatan dengan berulang kali dan menggunakan leflet agar klien mudah mengingat dan melakukannya kembali dan sebaiknya edukasi dilakukan saat pasien preoperasi dan post operasi THR.

---

Urban communities are at risk of having an accident that causes a fracture. Increasing the number of motorized vehicles and the density of the population and the pattern of activities of urban communities that are in a hurry cause fractures such as hip fractures. One attempt at fracture management is Total Hip Replacement (THR), which is a broken joint replacement with a prosthesis. This scientific work was prepared based on nursing care carried out by students for 3 weeks on the 4th floor of Building A, Ciptomangunkusumo Hospital, Jakarta.

This paper focuses on femur fracture patients post Total Hip Replacement. As for the data collection techniques used include interviews, client attendance, individual records, medical records and documentation of the nursing process carried out for 4 days (8-11 May 2019). Data that has been collected is analyzed to see the nursing problems experienced by the client and review the effectiveness of dislocation prevention education interventions, namely providing health education to clients regarding what needs to be considered and avoided so as not to dislocate and do muscle strength training such as angkle pump, quad sets, glut sets, heel sets, and quad short arc.

The results obtained by the client are able to do muscle strength training and accelerate mobilization and the client does not have a hip replacement dislocation. Muscle strength training is very useful for preventing dislocation in post THR patients and increasing muscle strength in mobilizing clients and minimizing complications from fractures. In providing nursing care for post-THR patients nurses provide nursing care repeatedly and use leaflets so that clients are easy to remember and do it again and education should be done when the patient is preoperative and post-THR surgery."

"ABSTRAKTuberculosis Paru banyak diderita masyarakat perkotaan. Perawatan dan pengobatannya membutuhkan waktu cukup lama. Salah satu penanganan dari Tuberculosis Paru ialah Pendidikan Kesehatan terhadap klien dan keluarga sebagai pengawas minum obat terkait TB Paru dan OAT.Penulisan karya ilmiah akhir ini bertujuan untuk menganalisis intervensi keperawatan yaitu Pendidikan Kesehatan terhadap klien dan keluarga sebagai pengawas minum obat. Pendidikan kesehatan diberikan di Instalasi Penyakit Dalam Gedung A Lantai 7 Zona A RSUPN. Cipto Mangunkusumo.Hasil dari intervensi yang dilakukan yaitu bertambahnya pemahaman klien tentang TB Paru. Hal ini terlihat dari kemampuan klien menyebutkan pengertian TB Paru, 3 tanda dan Gejala TB Paru, serta 2 akibat tidak teratur minum obat. Evaluasi dari intervensi yang dilakukan merekomendasikan agar perawat melakukan beberapa modifikasi di ruang isolasi khusus Tuberculosis. Diantara modifikasi yang dapat dilakukan adalah memasang poster yang berisikan pengetahuan tentang Tuberculosis dan pengobatan teratur, meningkatkan frekuensi intervensi pendidikan kesehatan terkait Tuberculosis serta penambahan jumlah staf sebagai pengawas menelan obat di rumah sakit.

---

ABSTRACT

PulmonaryTubeculosis affected many urban communities. Caring and treatment were taken a long time. One of way to handle of Pulmonary Tuberculosis was Health Education towards the client and the family as a supervisor to take medication related pulmonary TB and anti-tuberculosis drugs.

This research aimed to analyze the nursing interventions toward health education to the client and families as a supervisor to take medication. A health education has been given at Medical Ward Building A 7th Floor Zone A RSUPN. Cipto Mangunkusumo Jakarta Pusat. The result of interventions that increase client understanding of pulmonary TB. This could be seen from the client's ability to mention the meaning of pulmonary TB, 3 signs and symptoms of pulmonary TB, and 2 due to irregular taking medication.

Evaluation of interventions recommended that nurses perform some modifications in isolation room for Tuberculosis. Among the modifications to do is put up a poster that contains knowledge of Tuberculosis and regular treatment, increasing the frequency of health education interventions related to tuberculosis and increasing the number of staff as a supervisor for taking medication in hospital."

"ABSTRAK Kasus HIV/AIDS dan tuberkulosis banyak diderita masyarakat perkotaan.Penyakit pada masyarakat perkotaan berkaitan dengan karakteristik lingkungandan gaya hidup masyarakat perkotaan. Kasus HIV biasanya disertai denganberbagai infeksi oportunistik. Infeksi opportunistik yang paling banyak ditemukanadalah tuberkulosis, diikuti dengan kandidiasis oral, dan diare. Masalahkeperawatan utama pada pasien dengan tuberkulosis adalah ketidakefektifanbersihan jalan napas berhubungan dengan retensi sputum. Penulisan karya ilmiahakhir ini bertujuan untuk menganalisis intervensi mandiri keperawatan berupakombinasi antara anjuran minum air putih hangat, postural drainase, dan batukefektif untuk mengatasi masalah bersihan jalan napas tidak efektif. Intervensidilakukan pada pasien HIV/AIDS dengan tuberculosis di ruang rawat penyakitdalam RSCM. Hasil dan evaluasi dari intervensi yang dilakukan yaituberkurangnya penumpukan sputum pada jalan napas pasien, sehingga pasien tidakmerasakan sesak seperti sebelumnya dan bisa bernapas lebih lega. Perawatdiharapkan dapat melakukan intervensi mandiri keperawatan berupa kombinasiantara anjuran minum air putih hangat, postural drainase, dan batuk efektiftersebut untuk membantu memperbaiki status pernapasan pasien.ABSTRACT Cases of HIV / AIDS and tuberculosis affects many urban communities. Diseases

in urban communities are related to environment and lifestyle characteristics of

urban communities. HIV cases are usually accompanied by a variety of

opportunistic infections. The most common opportunistic infections is

tuberculosis, followed by oral candidiasis and diarrhea. The main nursing

problems in patients with tuberculosis is the ineffectiveness of airway clearance

related to the retention of sputum. This final scientific thesis aims to analyze the

independent nursing intervention in the form of a combination of the

recommendation to drink warm water, postural drainage, and cough effectively to

address the problem of ineffective airway clearance. The intervention was

conducted in HIV/AIDS patient with tuberculosis in medical ward RSCM. The

result of interventions was reduced sputum buildup in the airway of the patient, so

the patient did not feel crowded as before and could breathe more easily. Nurses

are expected to conduct independent nursing interventions in the form of a

combination of the recommendation to drink warm water, postural drainage and

effective coughing to help improve patient's respiratory status. ;Cases of HIV / AIDS and tuberculosis affects many urban communities. Diseases

in urban communities are related to environment and lifestyle characteristics of

urban communities. HIV cases are usually accompanied by a variety of

opportunistic infections. The most common opportunistic infections is

tuberculosis, followed by oral candidiasis and diarrhea. The main nursing

problems in patients with tuberculosis is the ineffectiveness of airway clearance

related to the retention of sputum. This final scientific thesis aims to analyze the

independent nursing intervention in the form of a combination of the

recommendation to drink warm water, postural drainage, and cough effectively to

address the problem of ineffective airway clearance. The intervention was

conducted in HIV/AIDS patient with tuberculosis in medical ward RSCM. The

result of interventions was reduced sputum buildup in the airway of the patient, so

the patient did not feel crowded as before and could breathe more easily. Nurses

are expected to conduct independent nursing interventions in the form of a

combination of the recommendation to drink warm water, postural drainage and

effective coughing to help improve patient's respiratory status. ;Cases of HIV / AIDS and tuberculosis affects many urban communities. Diseases

in urban communities are related to environment and lifestyle characteristics of

urban communities. HIV cases are usually accompanied by a variety of

opportunistic infections. The most common opportunistic infections is

tuberculosis, followed by oral candidiasis and diarrhea. The main nursing

problems in patients with tuberculosis is the ineffectiveness of airway clearance

related to the retention of sputum. This final scientific thesis aims to analyze the

independent nursing intervention in the form of a combination of the

recommendation to drink warm water, postural drainage, and cough effectively to

address the problem of ineffective airway clearance. The intervention was

conducted in HIV/AIDS patient with tuberculosis in medical ward RSCM. The

result of interventions was reduced sputum buildup in the airway of the patient, so

the patient did not feel crowded as before and could breathe more easily. Nurses

are expected to conduct independent nursing interventions in the form of a

combination of the recommendation to drink warm water, postural drainage and

effective coughing to help improve patient's respiratory status. "