NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871

STUDI KASUS ASUHAN KEPERAWATAN ANAK PADA BAYI BBLR DENGAN PENERAPAN METODE KANTONG PLASTIK UNTUK MENINGKATKAN SUHU TUBUH DI RUANG PERINATOLOGI

Maria Nona Lastri — 2025-03-04

Latar belakang Berat Badan Lahir Rendah merupakan kondisi berat badan yang lahir di bawah 2.500 gr tanpa melihat usia kehamilan. BBLR menjadi penyebab utama kematian pada neonatus. BBLR sangat rentang terkena hipotermi. Dampak dari hipotermi yang akan terjadi pada bayi baru lahir apabila tidak segera ditangani yaitu, hipoglikemi asidosis metabolik. Salah satu cara untuk mencegah kehilangan panas tubuh pada BBLR dengan menggunakan kantong plastik yang merupakan salah satu metode dengan biaya murah, teknologi rendah untuk wilayah dengan keterbatasan sumber daya.Tujuan menggambarkan asuhan keperawatan anak pada bayi BBLR dengan penerapan metode kantong plastik untuk meningkatkan suhu tubuh bayi BBLR. Metode yang digunakan adalah metode deskriptif dengan pendekatan studi kasus dengan jumlah sampel sebanyak 2 pasien. Hasil Penelitian ditemukan bahwa penerapan metode kantong plastic efektif untuk meningkatkan suhu tubuh pada bayi BBLR. Setelah diberikan asuhan keperawatan selama 3x24 jam menunjukkan bahwa adanya peningkatan suhu tubuh. Kesimpulan suhu tubuh bayi meningkat setelah diberikan kantong plastic selama 3 hari.

STUDI KASUS ASUHAN KEPERAWATAN ANAK DENGUE HEMORRHAGIC FEVER (DHF) DENGAN INTERVENSI PEMBERIAN JUS JAMBU BIJI UNTUK MENINGKATKAN TROMBOSIT DI RUANG MELATI

Katharina Asrinda Budhe — 2025-03-04

Latar belakang Penyakit demam berdarah dengue, atau DHF, infeksi virus yang disebabkan oleh gigitan nyamuk aedes aegypti, yang biasanya ditandai dengan gejala seperti mendadak demam tinggi (39–40°C), nyeri retro-bulbar, nyeri otot, nyeri sendi, malaise, mual, ruam, limfadenopati, dan trombositopenia. Penyakit DHF memiliki proses yang sangat cepat dan sering menjadi fatal karena banyak pasien yang meninggal akibat penanganan terlambat. Perdarahan dapat terjadi akibat adanya gangguan fungsi trombosit. Untuk mengatasi masalah trombositopenia dengan banyak cara salah satunya terapi non-farmakologi pemberian jus jambu biji. Salah satu alternatif yang dapat mempercepat penyembuhan penyakit DHF adalah jambu biji, merupakan salah satu terapi dengan biaya murah, dan mudah untuk didapatkan. Tujuan menggambarkan asuhan keperawatan anak pada DHF dengan penerapan terapi pemberian jus jambu biji untuk meningkatkan trombosit. Metode yang digunakan adalah metode deskriptif dengan pendekatan studi kasus dengan jumlah sampel sebanyak 3 pasien. Hasil Penelitian ditemukan bahwa penerapan terapi pemberian jus jambu biji pada anak DHF. Setelah diberikan asuhan keperawatan selama 3x24 jam menunjukkan bahwa adanya peningkatan trombosit. Kesimpulan trombosit pada kedua anak meningkat setelah diberikan jus jambu biji selama 3 hari sedangkan pada anak ketiga hanya dipantau hasil laboratoriumnya sehingga trombositnya meningkat namun belum mencapai normal.

ASUHAN KEPERAWATAN TERAPI UAP MINYAK KAYU PUTIH DALAM MENURUNKAN BERSIHAN JALAN NAFAS TIDAK EFEKTIF PADA ANAK DENGAN BRONKOPNEUMONIA

Margaretha Faustina — 2025-03-04

Latar Belakang Penyakit infeksi saluran pernapasan merupakan salah satu masalah kesehatan yang utama di dunia. Adapun salah satu penyakit infeksi saluran pernapasan pada balita yang menjadi penyebab kematian tertinggi dikalangan anak-anak ialah bronkopneumonia. Tujuan untuk menggambarkan asuhan keperawatan pemberian terapi uap minyak kayu putih dalam menurunkan bersihan jalan nafas tidak efektif pada anak dengan bronkopneumonia. Metode yang digunakan adalah metode deskriptif dengan pendekatan studi kasus dengan jumlah sampel sebnayak 2 pasien. Hasil pengkajian Pada kasus ditemukan data bahwa kedua klien mengalami keluhan utama sesuai dengan teori yaitu klien batuk produktif, dispnea, pernafasan cepat dan bunyi pernafasan ronchi, diagnosa yang ditemukan pada kedua klien yaitu bersihan jalan napas tidak efektif, Perencanaan yang digunakan dalam kasus pada kedua klien disesuaikan dengan masalah keperawatan yang ditegakkan berdasarkan kondisi klien, Tindakan keperawatan disesuaikan dengan rencana tindakan yang telah penulis susun. Tindakan keperawatan yang dilakukan pada klien 1 dan klien 2 sesuai dengan rencana keperawatan yang telah direncanakan berdasarkan teori yang ada dan disesuai dengan kebutuhan anak. Kesimpulan terapi uap minyak kayu putih dapat menurunkan bersihan jalan nafas tidak efektif pada anak dengan bronkopneumonia.

HUBUNGAN MOTIVASI PERAWAT DENGAN KESESUAIAN PENGISIAN NATIONAL INSTITUTES OF HEALTH STROKE SCALE (NIHSS) DI RSUD PROF. DR. MARGONO SOEKARJO PURWOKERTO

Nurul Fitria — 2025-03-24

The NIHSS (National Institutes of Health Stroke Scale) used a quantification method to determine stroke sensitivity as 0.71-0.90, with a mean correlation between stroke sensitivity and neurological assessment. The study aimed to identify clinically significant patients who were diagnosed with the NIHSS method and to identify patients with stroke. The study aims to provide information and motivation for patients with the NIHSS stroke assessment and to conduct a stroke assessment at the RSUD stroke Center Prof. Dr. Margono Soekarjo Purwokerto. This method of drilling involves drilling in a certain quantity using cross-sectional drilling. The population and sample of penitent children is estimated at 35 people using the sensible method. The statistics used are Chi-square. This index shows the Chi-square mean motivation and overall NIHSS pension assessment with a mean value of 0.858 and a significance level of 0.000. The mean mean value of the NIHSS mean value assessment was 0.718 with a significance level of 0.000 or lower from the alpha level (α = 0.05). The method used to determine the amount of money spent on the room is as follows: if the calculation can be done with a high degree of accuracy, the player who is also interested will be able to calculate the amount and motivation for the calculation in the table, so the NIHSS assessment will be carried out quickly.

Ketidaknyamanan pada Perempuan Fluor Albus Fisiologis dengan Intervensi Air Rebusan Sirih Merah

Anita Carolina — 2025-03-14

Physiological fluor albus, or normal vaginal discharge, is a common phenomenon experienced by women, playing a role in maintaining vaginal cleanliness and moisture. However, limited public understanding often leads to misconceptions and inappropriate management. This study aims to analyze comprehensive midwifery care in a case of physiological fluor albus in Nn. A 16 years old using an intervention of red betel leaf decoction at Puskesmas Tanjung Kerang, Musi Banyuasin, South Sumatera. The study employed a case study method with a descriptive qualitative approach. Data were collected through interviews, SOAP (Subjective, Objective, Assessment, Plan) assessment, observation, and documentation. Interventions included reproductive health education, improved personal hygiene, the use of red betel leaf decoction as a natural antiseptic, recommendations for a nutritious diet, and psychological support. The results indicated that the intervention effectively reduced complaints of vaginal discharge and improved the patient's understanding and healthy habits. The use of red betel leaf decoction proved safe, accessible, and effective in managing physiological fluor albus. This study highlights the importance of local wisdom-based midwifery care approaches in enhancing women's quality of life, especially in rural areas with limited access to healthcare services.

Pengaruh Teknik Distraksi Menggunakan Video Animasi Kartun Terhadap Tingkat Kecemasan Pada Pasien Anak Pre Sirkumsisi

Hafid Gunawan — 2025-03-14

Anxiety is something that children often experience before performing circumcision. One of the efforts to help reduce anxiety levels in pre-circumcision children is the provision of distraction techniques using cartoon animation videos. Cartoon movies will provide distraction stimuli in the form of visual, auditory and tactile.Objective to determine the effect of distraction techniques using cartoon animation videos on anxiety levels in pre-circumcision pediatric patients.This type of research is a quasi-experimental study with a one group pre-test post-test design. The sample was 28 children who performed circumcision at Modern Circumcision Sukoharjo with a sampling technique using purposive sampling. The research instrument used cartoon animation video distraction and Visual Analog Scale for Anxiety. Data analysis using Wilcoxon test. Results a total of 26 respondents (92.9%) experienced moderate anxiety, 2 respondents (7.1%) experienced severe anxiety before receiving cartoon animation video distraction. A total of 19 respondents (67.9%) experienced mild anxiety and 9 respondents (2.1%) experienced moderate anxiety after receiving cartoon animation video distraction. The Wilcoxon results showed a significance value of p-value = 0.001. Conclusion there is an effect of distraction techniques using cartoon animation videos on anxiety levels in pre-circumcision pediatric patients at Modern Circumcision Sukoharjo.

KARAKTERISTIK IBU DENGAN KEJADIAN GIZI KURANG PADA BAYI 6-24 BULAN DI WILAYAH KERJA KELURAHAN TANJUNG UNGGAT

Atika Sara Munthe — 2025-03-19

Children under 5 years old (infants) are in their golden age. Children at this age grow rapidly and need to be fed on demand. Children who get the right nutrition and according to their needs will grow and develop optimally and develop into quality human resources. Children at this age are vulnerable to nutritional problems. Nutrition is a measure of a person's physical condition and is determined by the food we eat and how the nutrients are used by the body. Objective To determine the characteristics of mothers with cases of malnutrition in infants aged 6-24 months in the Tanjung Unggat sub-district work area. The research method is descriptive observational and analyzed univariately and bivariately using the chi square test. Results The nutritional status of toddlers is mostly lacking (68.75%) The education level of mothers is mostly high school (50%). The employment status of mothers is mostly unemployed (53%). The results of the chi-square test analysis show that the p value for the mother's age with the nutritional status of toddlers is 0.022, the p value for the mother's education level with the nutritional status of toddlers is 0.001, the mother's employment status with the nutritional status of toddlers is 0.003. Conclusion: There is a relationship between age, maternal education level, maternal occupation and nutritional status of toddlers.

Learning Method with Table-top Disaster Exercise Can Improve Nursing Students' Knowledge and Skill: Literature Review

I Putu Juni Andika — 2025-04-27

Nurses must now strengthen their duties as disaster nurses in emergency response due to the rising frequency of disasters. This scenario can be addressed by improving nursing students' initial readiness through disaster education; hence, this proposal calls for new approaches to creative and successful disaster learning. Simulation using a Tabletop Disaster Exercise (TDE) is one of the suggested teaching strategies. The objective of this research is to determine whether the TDE learning method can enhance nursing students' knowledge. This literature uses inclusion and exclusion criteria, articles obtained, reviewed, and obtained from databases, namely, Google Scholar (2020–2024), PubMed (2020–2024), and Wiley Online Library (2020–2024). The search strategy with terms used in English is as follows: TDE and Nursing Student and Knowledge. The year the literary source is taken from 2020 until 2024. Search strategy with the keyword “TDE and Knowlegde and skill and nursing student,” and in Bahasa Indonesia “metode dan TDE dan pengetahuan dan keterampilan dan mahasiswa keperawatan .” This is to make sure all the articles obtained are relevant and appropriate, then the full text is downloaded and saved. The initial identification of titles and abstracts in PubMed received 118 articles, in Wiley Online Library received 136 articles, and in Google Scholar received 4,311 articles, totaling 4,565 articles. The results of the literature review from 13 articles state that the TDE method can significantly improve nursing students' knowledge and skills in disaster management. All the discussed articles state that the use of tabletop disaster training media among nursing students in the context of disaster nursing can enhance their knowledge and skills. In addition, they can also experience it as if it were the real world.

HUBUNGAN ANTARA PERILAKU CARING PERAWAT DENGAN TINGKAT KECEMASAN PASIEN PRE OPERASI DI RST WIJAYAKUSUMA PURWOKERTO

Eko Wahyu Junianto — 2025-03-22

Surgery or surgery involves invasive procedures that expose the body part to be treated. The perception of surgical procedures as a life-threatening process causes a person to experience anxiety and the caring behavior of nurses to preoperative patients aims to reduce patient anxiety and be ready to undergo surgery. The purpose of this study was to determine the relationship of nurses' caring behavior with the anxiety level of preoperative patients at RST Wijayakusuma Purwokerto. This type of research is quantitative correlation with a cross sectional approach. The sampling technique was consecutive sampling with a total sample of 30 patients. Data collection was carried out in December 2024. The instruments used were the Amsterdam Preoperative anxiety and Information Scale (APAIS) questionnaire and the CBI-24. The results of the study based on the spearman-rank test obtained a p-value = 0.038 < α (α = 0.05), and a correlation coefficient value of -0.381 which indicates that there is an unidirectional relationship between the level of anxiety and the caring behavior of nurses towards preoperative patients in the Antasena Room RST Wijayakusuma Purwokerto means that when the caring behavior of nurses is high, anxiety in preoperative patients will be low and vice versa.

TEKNIK PURSSED LIPS BREATHING TERHADAP POLA NAPAS PASIEN COMMUNITY ACQUERE PNEUMONIA (CAP)

Yustina Yantiana Guru — 2025-04-22

Community Acquired Pneumonia (CAP) is an acute inflammation of the lung parenchyma. CAP is a disease that occurs frequently and is associated with a high mortality rate, especially in elderly patients and patients. Management of Community Acquired Pneumonia can be done pharmacologically and non-pharmacologically. Non-pharmacological therapy that can be carried out in pneumonia patients with ineffective breathing pattern nursing problems according to SIKI is airway management. One other therapy that can be carried out independently by nurses is Pursed Lip Breathing therapyThe pursed lips breathing technique can help induce a slow breathing pattern, increase oxygen transport, help patients control breathing and also train respiratory muscles, it can also increase the release of carbon dioxide caused by trapped carbon dioxide because the alveoli lose their elasticity, so gas exchange cannot be achieved . carried out optimally and increases dead space in the lungs. The method used is a case study of one CAP patient who was treated in the ICU at RSUD dr. T. C. Hillers Maumere. The results of the case study show that the management of nursing care for CAP patients in reducing shortness of breath, namely providing the pursed lips breathing technique for 3 days, resulted in the first day RR 30x/minute, down to 28x/minute, the second day shortness of breath 28x/minute, down to 22x/minute and third day 20x/minute. This shows that the use of the purses lips breathing technique has an effect on reducing shortness of breath in CAP patients.

ASUHAN KEPERAWATAN DENGAN GANGGUAN INTEGRITAS KULIT PADA LANSIA PENDERITA DIABETES DI RUANG SANKAI RS NISHIHARA KEIAIEN JEPANG

Egin Wahyu Septiawan Bahari — 2025-03-22

Diabetes mellitus (DM) is a heterogeneous group of disorders characterised by elevated blood glucose levels or hyperglycaemia. Diabetes can cause ulcers, especially on the feet. Diabetic ulcers are open wounds that often occur in people with diabetes due to nerve and blood vessel damage caused by uncontrolled high blood sugar levels. These wounds can cause infection and, if left untreated, can lead to amputation. Wound ulcer treatment with NaCl (sodium chloride) or saline is a commonly used procedure to clean and keep the wound moist. NaCl 0.9% (intravenous fluid) is considered safe and effective because its composition is similar to blood plasma, so it does not cause irritation or allergic reactions. The design used in this case study research is descriptive research. The study in this research is a way to describe the application of nursing care in the elderly with skin integrity (back abscess) in the Sankai Room of RS Keiaien Okinawa Japan including assessment, diagnosis, intervention, implementation, and evaluation carried out on 11-13 June 2023. The subject of this case study is patient Mrs S with a medical diagnosis of DM in the Nikai room of Nishihara Keiaien Okinawa Hospital, Japan. The author conducted this research by interviewing and observing the case study subject to find information to compile a report conducted for 3x24 hours. The results of the final evaluation of the implementation of back abscess treatment with wound cleansing with NaCl 0.9% and the results of skin/tissue integrity disorders improved. Characterised by clients saying pain but has decreased, the wound looks dry, no need for dressings.

EFEKTIVITAS AROMATERAPI LAVENDER PADA PASIEN HIPERTENSI DI DESA PRIGI KECAMATAN PADAMARA KABUPATEN PURBALINGGA

Egin Wahyu Septiawan Bahari — 2025-03-22

Hypertension is a condition where the blood pressure in the arteries is too high. Hypertension occurs due to excessive workload of the heart when pumping blood throughout the body to meet the needs of oxygen and nutrients by the body. Hypertension is a leading cause of death that is often referred to as the silent killer disease. Hypertension, or high blood pressure, can cause pain, especially headaches and pain in the neck area, due to increased pressure on the blood vessel walls. Pain in hypertension can be treated with various alternatives, both pharmacologically and non-pharmacologically. Pharmacologically, it can be treated with analgesic drugs. One natural method that is considered effective in reducing pain is lavender aromatherapy. This case study aims to describe the application of Lavender Aromatherapy in Hypertension Patients in Prigi Village, Padamara District, Purbalingga Regency. The case study was carried out by observation for 2x meetings and the intervention of giving lavender aromatherapy for 2 days on December 11-12, 2024. The results of the case study of the application of lavender aromatherapy on the first day the patient was still in pain by showing a decrease in the pain scale on the second day. On the first day, the patient's level before being given lavender aromatherapy therapy with a pain scale of 5 (moderate pain) after being given lavender aromatherapy therapy became 4 (moderate), on the second day there was a significant decrease in the pain scale after being given lavender aromatherapy therapy, namely scale 2 (mild pain). Lavender aromatherapy in hypertension patients in Prigi Village, Padamara District, Purbalingga Regency is effective in reducing pain applied for 2x24 hours showing significant results from a pain scale of 5 (moderate pain) to a pain scale of 2 (mild pain).

PENGARUH POSISI NESTING DAN TERAPI MUROTTAL AL-QUR`AN TERHADAP TANDA VITAL BAYI BBLR DENGAN ASFIKSIA DI NICU: CASE STUDY

Fira Destina Wahyu Murti — 2025-03-22

Background: Low Birth Weight (LBW) infants have a much higher risk of experiencing perinatal asphyxia. Treatment interventions that can be applied to infants with LBW and asphyxia are nesting positions and Al-Qur'an Murottal Therapy. Nesting positions and Al-Qur'an Murottal Therapy in LBW infants with asphyxia can have a positive impact on the stability of vital signs, such as heart rate, respiratory rate, oxygen saturation, and body temperature. Research method: This study used a case report method with the intervention of nesting positions and Al-Qur'an Murottal Therapy in LBW infants with asphyxia in the NICU. The intervention was carried out for five consecutive days with a duration of 30 minutes per day. Results: After the intervention for 5 consecutive days, there was a decrease in the average heart rate from 150.6 x/minute to 145.8 x/minute, a decrease in the average respiration from 59.2 x/minute to 56.2 x/minute, an increase in the average oxygen saturation from 94% to 96.6%, an increase in the average temperature from 36.2°C to 36.6°C. Conclusion: The provision of nesting positions and Al-Qur'an Murottal Therapy have an effect on vital signs including heart rate, respiration, oxygen saturation, and body temperature in Low Birth Weight (LBW) babies with asphyxia