Ayu, Shinta Arini
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Asuhan keperawatan pada pasien chronic kidney disease (CKD) on HD terhadap ansietas menggunakan terapi relaksasi genggam jari Erpiyana, Refsi; Yulendasari, Rika; Chrisanto, Eka Yudha; Ayu, Shinta Arini
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 4 No 1 (2024): Edisi Juli 2024
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v4i1.408

Abstract

Background: Chronic Kidney Disease (CKD) is a progressive and irreversible kidney function disorder where the body cannot maintain metabolism, cannot maintain fluid and electrolyte balance, resulting in increased urea levels. In 2015, WHO said that CKD in the world reached 10% of the population, while the prevalence of CKD on HD reached around 1.5 million people in the world. The incidence rate is estimated to increase by 8% every year. Purpose: Providing Nursing Care to Chronic Kidney Disease (CKD) Patients on HD Against Anxiety Using Finger Hold Relaxation Therapy at Abdul Moeloek Regional Hospital, Bandar Lampung City in 2024. Method: This research uses quantitative research and quasi-experimental methods. The research design uses a One group pretest–posttest design without a control group where this research design is included in pre-experimental research. Results: In this nursing care, 2 patients experienced a moderate level of anxiety. After carrying out the finger-hold relaxation technique approximately 3 times a day for 2 days, the results showed a decrease in the level of anxiety in Mr.D and Mrs R mild level of anxiety. Conclusion: Nursing care provided to Mr.D and Mrs.R namely providing finger-hold relaxation technique therapy to reduce the level of anxiety experienced by the client so that the level of anxiety can decrease.  Keyword: Anxiety; CKD; Finger Grip Therapy. Pendahuluan: Chronic Kidney Disease (CKD) merupakan gangguan yang terjadi pada fungsi ginjal yang progresif dan irreversible dimana tubuh tidak dapat mempertahankan metabolisme, tidak dapat menjaga keseimbangan cairan dan elektrolit, sehingga terjadi peningkatan kadar ureum. Pada tahun 2015 WHO mengatakan CKD didunia mencapai 10% dari penduduk, sedangkan prevalensi CKD on HD mencapai sekitar 1,5 juta orang di dunia. Angka kejadiannya diperkirakan meningkat 8% setiap tahunnya. Tujuan: Melakukan Asuhan Keperawatan Pada Pasien Chronic Kidney Disease (CKD) On HD Terhadap Ansietas Menggunakan Terapi Relaksasi Genggam Jari Di RSUD Abdul Moeloek Kota Bandar Lampung Tahun 2024. Metode: Penelitian ini menggunakan jenis penelitian kuantitatif dan metode quasy eksperimental. Desain penelitian menggunakan One group pretest – posttest desain tanpa kelompok control dimana desai penelitian ini termasuk dalam penelitian pre-eksperimental. Hasil: Dalam asuan keperawatan ini terdapat 2 pasien yang mengalami tingkat kecemasan derajat sedang, setelah dilakukan teknik relaksasi genggam jari kurang lebih 3x pertemuan /hari selama 2hari didapatkan hasil adanya penurunan tingkat kecemasan pada Tn.D dan Ny.R yang semula tingkat kecemasan sedang menjadi tingkat kecemasan ringan. Simpulan: Asuhan keperawatan yang dilakukan terhadap Tn.D dan Ny.R yaitu memberikan terapi teknik  relaksasi genggam jari untuk menurunkan tingkat kecemasan yang dialami oleh klien sehingga tingkat kecemasan dapat menurun.
Pengalaman Ibu Dalam Upaya Pengentasan Stunting Novryanthi, Dhinny; Suryadin, Asep; Hamidah, Ernawati; Lutiyah, Lutiyah; Ayu, Shinta Arini; Aziz, Shovi Nur; Shyfa, Putri
MAHESA : Malahayati Health Student Journal Vol 4, No 9 (2024): Volume 4 Nomor 9 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i9.16350

Abstract

ABSTRACT Nutritional problems occur in every life cycle, starting in the womb, infancy, childhood, adulthood and old age. The first two years of life are a critical period, because there is rapid growth and development. The condition of failure to grow in children under five results in children being too short and not appropriate for their age due to chronic malnutrition, this term we know as stunting. Stunting makes children more susceptible to disease and as adults they are at risk of developing degenerative diseases. The problem of stunting which is an obstacle to children's growth and development will have an impact on intelligence. Stunting also raises concerns for a country because it affects the quality of human resources which are valuable assets. To explore mothers' adaptation experiences in efforts to reduce stunting. This research is qualitative research with a phenomenological design. Where this research begins by paying attention to the phenomenon being studied, various aspects of the subject and the behavior of the object being seen. Participants are people who provide main information and are key information for 5 participants. Participants in this study were aged between 25 years and 34 years who had children under five years old. From the results of this research, three themes were obtained, namely theme 1: Food based on the age of the toddler that the mother gives. This theme describes the type of food that the mother gives to her child as time goes by and as the child's age increases, the texture and type begin to change according to the child's ability to digest. that food. Theme 2: Mother's parenting style is seen from the needs of the toddler. Participants described providing parenting patterns for toddlers based on the needs that participants saw in their own toddlers when the toddlers did not finish their portions of food, when the toddlers were lazy about eating, as well as the mother's parenting patterns to obtain information on maintaining balanced nutrition in toddlers. Theme 3: mothers maintain the health of their toddlers. This third theme explains how mothers maintain the health of their toddlers in an effort to eradicate stunting with the criteria of maintaining cleanliness in toddlers, caring for sick toddlers. Mothers' experiences in efforts to eradicate stunting have a role and influence on the growth and development of toddlers. Keywords: Stunting, Mother's Experience, Efforts To Eradicate Stunting ABSTRAK Masalah gizi terjadi pada setiap siklus kehidupan, dimulai sejak dalam kandungan, bayi, anak, dewasa dan usia lanjut. Periode dua tahun pertama kehidupan merupakan masa kritis, karena terjadi pertumbuhan dan perkembangan yang pesat. Kondisi gagal tumbuh dari anak balita mengakibatkan anak terlalu pendek dan tidak sesuai dengan usianya diakibatkan dari kekurangan gizi kronis, istilah ini kita kenal sebagai stunting. Stunting menyebabkan anak lebih rentan terhadap penyakit dan ketika dewasa berisiko untuk mengidap penyakit degeneratif . Masalah      stunting yang menjadi penghambat tumbuh kembang pada anak akan berdampak pada kecerdasan. Stunting juga menimbulkan kekhawatiran bagi sebuah negara karena berpengaruh terhadap kualitas sumber daya manusia yang menjadi aset berharga. Untuk mengeksplorasi pengalaman adaptasi ibu dalam upaya mengentaskan stunting. Penelitian ini merupakan penelitian kualitatif dengan desain fenomenologi. Dimana penelitian ini diawali dnegan memperhatikan fenomena yang diteliti, berbagai aspek subjek dan perilaku objek yang dilihat. Partisipan adalah orang yang memberikan informasi utama dan merupakan infromasi kunci sebanyak 5 partisipan. Partisipan dalam penelitian ini berusia antara 25 tahun sampai dengan 34 tahun yang memiliki anak dengan usia balita. Dari hasil penelitian ini didapatkan tiga tema yaitu tema 1 : Makanan berdasarkan usia balita yang ibu berikan Tema ini mendeskripsikan tentang jenis makanan yang ibu berikan untuk anaknya seiring berjalannya waktu dan peningkatan usia anak mengalami perubahan dan mulai tekstur dan jenis nya sesuai dengan kemampuan anak dalam mencerna makanan tersebut. Tema 2 : Pola Asuh ibu dilihat dari kebutuhan balita. Partisipan mendeskripsikan pemberian pola asuh pada balita dilihat dari kebutuhan yang partisipan lihat pada balita nya sendiri disaat balita tidak menghabiskan porsi makan, disaat anak balita malas makan, serta pola asuh ibu untuk mendapatkan informasi dalam menjaga gizi seimbang pada balita. Tema 3: ibu mempertahankan Kesehatan balita, tema ketiga ini menjelaskan bagaimana ibu mempertahankan Kesehatan balitanya dalam upaya pengentasan stunting dengan kriteria menjaga kebersihan pada diri balita, merawat anak balita sakit.  pengalaman ibu dalam upaya pengentasan stunting memiliki peran dan pengaruh bagi pertumbuhan dan perkembangan balita. Kata Kunci: Stunting, Pengalaman Ibu, Upaya Pengentasan Stunting
Ergonomics Exercises on blood pressure control among hypertensive patients Ayu, Shinta Arini; Yulendasari, Rika; Wijayaningsih, Kartika Sari; Hartati, Sri; Puspitasari, Dewi
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 6 (2024): Volume 7 Number 6
Publisher : Program Studi Ilmu Keperawatan-Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i6.566

Abstract

Background: Hypertension affects more than 31% of the adult population globally, data released by Cardiovascular Diseases (CDVs) hypertension is one of the largest contributors to cardiovascular disease. Untreated hypertension can increase the risk of heart disease, kidney failure, and stroke. The spread of hypertension will continue to grow strongly and it is predicted that in 2025 as many as 29% or around 1.15 billion individuals will suffer from hypertension. Deaths due to hypertension and its complications are estimated to reach 9.4 million people each year. Purpose: To determine the effect of ergonomics exercises on blood pressure control among hypertensive patients. Method: This study used a quasi-experimental pre-post test with group control design on the education of providing ergonomic exercise for controlling blood pressure in hypertensive patients or called Ce'Esi (prevent hypertension), divided into two groups, namely the intervention group and the control group. This study was conducted on all hypertensive patients who were treated at health centers in three cities in Indonesia, namely Cianjur Health Center, Permata Sukarame Health Center Bandar Lampung, and Tamanlanrea Health Center Makassar, which was carried out in March-July 2024. Data analysis used univariate and bivariate statistical tests Paired t-test and Independent t-test. Results: There were significant differences in the intervention group, namely health status scores, knowledge, compliance, and diastolic pressure (p-value 0.000), while systolic pressure (p-value 0.003). in the control group, no significant differences were found in all variables. This shows that hypertension management education interventions and ergonomics exercises can improve the health status of hypertensive patients, knowledge, compliance, and lower diastolic blood pressure. Conclusion: Health education and ergonomics exercise using videos in preventing hypertension can improve knowledge, compliance, health status, and lower blood pressure in hypertension sufferers.