Buletin Kesehatan: Publikasi Ilmiah Bidang kesehatan

Penerapan Terapi Bermain Puzzle Dalam Menurunkan Ansietas Pada Anak yang Dihospitalisasi dengan Kejang Demam

Annisa Rosiana — 2023-12-31

The application of puzzle play therapy can minimize anxiety in children undergoing hospitalization. The implementation of puzzle play therapy in nursing care for children with febrile seizures who experience anxiety is carried out through a comprehensive nursing process approach. The descriptive method was chosen with a case study approach accompanied by the application of evidence-based practice. The results of the application of nursing care were carried out on a male patient, aged 3 years, with a medical diagnosis of simple febrile seizure. Analysis of the assessment data found two main problems, namely anxiety and hypovolemia. The application of 5 minutes of puzzle play therapy with a frequency of 2x/day for three days has been proven to be able to reduce children's anxiety levels. The final evaluation results showed that there was a decrease in the level of anxiety from a scale of 8 to 2 on the third day. In conclusion, puzzle games can be applied to pediatric patients with febrile seizures to decrease anxiety. The nurse's suggestion is to apply playing puzzles to minimize anxiety with varying game difficulty levels and a wider age range

Penerapan Senam Kaki dalam Asuhan Keperawatan Pasien dengan Diabetes Melitus

Dimas Prayoga — 2023-12-31

Diabetes mellitus, a metabolic disorder, is a chronic disease distinguished by hyperglycemia (above-normal blood sugar levels). Case studies are conducted to gain practical experience in administering foot exercises and providing nursing care to clients with diabetes mellitus. The descriptive method was used, along with a case study approach and the use of evidence-based practices. Nursing care was provided to a 55-year-old female patient with diabetes and ketosis. The results of the study obtained four nursing problems, namely ineffective airway clearance, unstable blood glucose levels, risk of nutritional deficits, risk of ineffective peripheral perfusion. The implementation was carried out, namely doing diabetic foot exercises for 15-20 minutes with a frequency of 1x/day for three days to reduce tingling in patients. The evaluation results showed that the tingling sensation was significantly reduced on the third day. In conclusion, diabetic foot exercise can be applied to diabetes mellitus patients who experience impaired peripheral blood flow. Hopefully the results of this study can provide information about the application of diabetic foot exercises to patients and their families to reduce tingling in the feet.

Penerapan Hipnosis Lima Jari Untuk Menurunkan Kecemasan Pada Pasien Dengan Diabetes Melitus

Maulana Abdul Halim — 2023-12-31

Diabetes melitus is a medical condition in the form of increased blood glucose levels. Changes in body condition that occur in diabetes melitus patients have an influence on the patient's psychology. One of the psychological impacts of Diabetes melitus is anxiety. Nursing intervention that can be done to reduce anxiety is five finger hypnosis. This research method uses a descriptive method with a case study approach accompanied by the application of evidence-based practice. Nursing care was provided to a male patient, aged 65 years, with a medical diagnosis of Diabetes melitus. From the results of the assessment, eight nursing problems were obtained, namely ineffective breathing patterns related to respiratory effort resistance, risk of decreased cardiac output related to changes in preload, changes in afterload, lack of fluid volume related to active fluid loss, vomiting, acute pain related to physiological injurious agents, risk of nutritional deficits related to nausea, insulin insufficiency, activity intolerance related to an imbalance between oxygen supply and demand, self-care deficits related to decreased interest in self-care, weakness, anxiety related to concerns about experiencing a decrease in blood glucose levels. Evidence-based application in cases is carrying out the five finger hypnosis technique for 10-15 minutes with a frequency of 3x/day for three days to reduce the patient's anxiety level. The evaluation results showed that there was a significant decrease in anxiety scores from 30 at the initial assessment to 23 on the third day of implementation. It can be concluded that the five finger hypnosis technique can be applied to diabetes melitus patients to reduce anxiety levels and make patients more relaxed. Nurses can teach the five finger hypnosis technique to patients and families to reduce anxiety

Studi Kasus Penerapan Pemberian Air Rebusan Daun Jambu Biji Untuk Menurunkan Kadar Gula Darah Pada Pasien Diabetes Melitus

Ratu Chairany Syah — 2023-12-31

Diabetes Mellitus (DM) merupakan salah satu penyakit degeneratif yang mengalami peningkatan kasus serta memiliki dampak yang cukup luas bagi keluarga. Peningkatan kejadian kasus serta buruknya pengendalian kadar glukosa darah dapat menyebabkan komplikasi bahkan kematian. Penanganan kuratif penyakit Diabetes Mellitus dapat dilakukan secara farmakologis dan non farmakologis. Salah satu alternatif penanganan non farmakologis adalah dengan memberikan air rebusan daun jambu biji yang bertujuan menurunkan kadar glukosa darah. Jenis penelitian yang digunakan adalah studi deskriptif dengan menggunakan pendekatan studi kasus. Subjek adalah satu keluarga yang memiliki anggota keluarga dengan Diabetes Melitus. Setelah dilakukan pemberian air rebusan daun jambu biji selama tiga hari berturut-turut, terbukti terjadi penurunan kadar gula darah. Kadar glukosa darah responden turun dari 314 mg/dl menjadi 180 mg/dl. Sehingga air rebusan daun jambu biji dapat diterapkan sebagai alternatif untuk menurunkan kadar gula darah pada pasien dengan Diabetes Melitus

Penerapan Teknik Akupressure Pada Keluarga Dengan Gout Arthritis

Rohani Asiah — 2023-12-31

Background. According to WHO in 2020, Gouty Arthritis sufferers increased by 11% from the 6.9 billion population in the world, while according to Basic Health Research (2018) East Jakarta reached 6.72%. Gout Arthritis treatment is divided into two, namely pharmacological and nonpharmacological. Non-pharmacological treatment is carried out with herbal and complementary therapies. The acupressure technique is carried out by applying physical pressure to several points on the surface of the body where energy circulates and balances pain symptoms. The purpose of writing is to gain real experience in providing acupressure techniques to families with Gout Arthritis. The research method used is descriptive method and literature study. The descriptive method is a case study approach by taking one family case and applying acupressure technique intervention and providing nursing care. Research Results: After applying the acupressure technique for 3 days, once a day for 15 minutes - 30 minutes, Mrs. I especially Mrs. I with Gout Arthritis experienced a decrease, initially 8.4 mg/dl fell to 6.4 mg/dl. Conclusion The application of acupressure techniques in families with Gout Arthritis was carried out well, namely that the family's knowledge about Gout Arthritis increased and uric acid levels decreased from 8.4 mg/dl to 6.4 mg/dl and the family was able to care for members who experienced Gout Arthritis.

Penerapan Terapi Zikir Pada Pasien Dengan Gangguan Persepsi Sensori: Halusinasi Pendengaran Di RSJ Bogor : Studi Kasus

Yunita Herawati — 2023-12-31

Latar belakang: Halusinasi pendengaran yaitu suatu persepsi tanpa adanya rangsangan, biasanya berupa mendengar suara palsu yang menganggu individu. Dalam mengontrol halusinasi bisa dilakukan dengan menggunakan intervensi penerapan terapi zikir, zikir yang dilakukan menggunakan latihan verbal sehingga pasien dapat mengalihkan halusinasinya dan dapat membuat pasien menjadi tenang. Laporan RSJ Bogor pasien gangguan jiwa tahun 2020 sekitar 131,07%. Tujuan: Diperolehnya pengalaman secara nyata dalam memberikan asuhan keperawatan dan menerapkan terapi zikir pada pasien halusinasi pendengaran. Metode: Metode deskriptif akan mendeskripsikan pasien didalam asuhan keperawatan dari pengkajian sampai dengan evaluasi keperawatan dengan pendekatan penerapan praktik berbasis bukti. Hasil: Dalam waktu 3 hari pasien melakukan penerapan terapi zikir saat halusinasi berlangsung dengan membaca Astaghfirullahal’adzim 33 kali, Subhanallah 33 kali, Alhamdulillah 33 kali, Allahu Akbar 33 kali dengan durasi 10-20 menit, pasien mengalami penurunan tanda gejala halusinasi, seperti tidak mendengar suara palsu yang menganggu dan pasien merasa lebih tenang.