Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan)

Dampak Sarapan Sehat terhadap Konsentrasi dan Daya Tahan Tubuh Anak

Prima Yoselina, Kheniva Diah Anggita, Hasmita — Sen, 30 Jun 2025 00:00:00 +0000

Breakfast is the most important thing for school children in during growth and development. Breakfast habits in the morning can affect students' health, impacting their attendance at school and academic achievement. This study aims to determine the relationship between breakfast habits and student learning achievement. This descriptive study uses a cross-sectional approach in grade VII students of SMPN 4 VII Koto Sungai Sarik, Padang Pariaman Regency. The sample in this study uses the purposive sampling method to obtain a sample of 25 students. The data analysis used the chi-square test (p<0.05) using a questionnaire. The data were analyzed univariate and bivariate. The study results showed that the breakfast habits of students were generally less than 15 students (60%) and the concentration of students was less than as many as 14 students (56%). There was a significant relationship between breakfast habits and students' learning concentration with a value of p=0.04. Getting children used to breakfast, will increase the child's concentration on learning and the child's achievement will increase by itself

Pengaruh Holistic Comfort Care terhadap Parameter Fisiologis Pasien Neonatus dengan Asfiksia di Ruang NICU: Studi Kasus

Kailifah Nurul Arinandika, Ferika Indarwati, Winarni — Sen, 30 Jun 2025 00:00:00 +0000

Asphyxia is one of the life-threatening emergency conditions for newborns (neonates). Neonates with asphyxia undergo treatment in the Neonatal Intensive Care Unit (NICU) to improve their condition. One of the therapeutic nursing interventions that can be given to neonates is Comfort care. Comfort care can be used as a specific and comprehensive (Holistic) intervention that includes neonates' physical and psychological aspects. The purpose of this study was to determine the effect of holistic comfort care (nesting position, light reduction, white noise, and bounding attachment) on improving physiological parameters and comfort of neonates with asphyxia in the NICU. The method in this study is a case report involving neonatal patients with asphyxia in the NICU. Monitoring was carried out before and after the intervention with instruments consisting of vital signs (heart rate, respiratory rate, SPO2) and the Comfort Neo Scale. The results of the study showed that the implementation of comfort care intervention for 5 days improves physiological parameters in particular pulse rate, breathing rate, oxygen saturation, and comfort in neonates with asphyxia. Based on these results, comfort care can be an alternative to nursing interventions that can improve the outcomes of babies with asphyxia who are treated in the NICU room.

Tingkat Kelelahan Pada Pasen Gagal Ginjal Kronis Di Ruang Hemodialisa

Kheniva Diah Anggita, Prima Yoselina, Vivi Yuderna — Sen, 30 Jun 2025 00:00:00 +0000

Chronic kidney failure is a condition where kidney function decreases gradually due to kidney damage. One of the treatments that can be done to minimize the risk of causing further kidney damage is hemodialysis. Fatigue is the main complaint often experienced by chronic kidney failure patients undergoing long-term hemodialysis so that it will affect their quality of life. Purpose of the study: to determine the level of fatigue in chronic kidney failure patients undergoing hemodialysis. Method: cross sectional. Data Source: primary data in the form of observation sheets and secondary data in the form of a list of names of chronic kidney failure patients and supporting data obtained from room nurses. Research Results: The level of fatigue was generally at a moderate level in 17 people (56.7%) in chronic kidney failure patients in the hemodialysis room at Dr M Djamil Padang General Hospital, it is hoped that health services, especially nurses, can identify and overcome the level of fatigue in chronic kidney failure patients undergoing hemodialysis.

Literatur Review : Pendekatan Keperawatan Transkultural Dalam Homecare Gangguan Jiwa Oleh Caregiver

Larasuci Arini, Yarmis Syukur, Firmani, Setiadi Syarli — Sen, 30 Jun 2025 00:00:00 +0000

This literature review explores the application of transcultural nursing approaches in the homecare of individuals with mental disorders by caregivers. The findings reveal that culturally sensitive care significantly enhances communication, trust, and therapeutic outcomes. Training caregivers in cultural competence is essential to meet the diverse needs of patients, reduce stigma, and improve adherence to treatment. The study highlights the importance of systemic support, family involvement, and continued education to develop inclusive and humane mental health care practices.

Psikoedukasi dan Konseling Mandiri sebagai Strategi Penurunan Ansietas Remaja Young Caregiver

Shelany Anugerah, Shanti Wardaningsih — Sen, 30 Jun 2025 00:00:00 +0000

Adolescents who play the role of primary caregivers for parents with chronic illnesses face a heavy psychological burden. This can cause significant anxiety and affect their psychological condition. This study aims to determine the effectiveness of psychoeducation and self-counseling in reducing anxiety in adolescents who experience role burden. The method used is a case study with a comprehensive psychiatric nursing care approach. The participant in the study was a 19-year-old female adolescent who experienced anxiety symptoms due to her role as a caregiver for parents with advanced cancer. This therapy was carried out for six sessions from March 10-22, 2025 with different topics at each meeting. Counseling and education topics include anxiety, managing negative thoughts, time management, relaxation techniques and self-evaluation and reflection. The effectiveness of therapy was measured using the Generalized Anxiety Disorder (GAD-7) and Self-Reporting Questionnaire (SRQ-20) questionnaires. Based on the results of the analysis and discussion, it shows a decrease in the GAD-7 score from 14 (moderate anxiety) to 3 (minimal anxiety) and a decrease in the SRQ-20 score from 9 to less than 6, which indicates no psychological disorders. In addition, the Client showed the ability to apply coping strategies independently, increased emotional control, and improvements in psychological well-being. The assessment of nursing care and the nursing problems were anxiety. Psychoeducation and independent counseling have proven effective in reducing anxiety in adolescents with role burdens. Development and implementation of similar interventions are needed in a wider scope to support the mental health of adolescents, especially those facing the burden of the role as caregivers.

Penanganan Emergency pada Pasien Gagal Napas dengan NSTEMI dan Suspek PPOK di IGD

Muhammad Dicky Anugrah, Nur Chayati, Sidiq Purnomo — Sen, 30 Jun 2025 00:00:00 +0000

Respiratory failure is a condition in which the respiratory system is unable to perform its gas exchange function effectively, resulting in inadequate oxygen intake and insufficient removal of carbon dioxide. Patients with respiratory failure with Non-ST Elevation Myocardial Infarction (NSTEMI) and sups. COPD must get fast initial treatment because they cannot ventilate spontaneously. Initial handling of respiratory failure in the Emergency Department (ED) airway, breathing, and circulation, according to the principles of Advanced Life Support. If airway obstruction is found, measures are taken to ensure airway patency, such as head repositioning maneuvers, use of oropharyngeal airway, or endotracheal intubation if needed. Furthermore, oxygen therapy is given. The method used is a descriptive case study that aims to describe the initial management of patients with respiratory failure with Non-ST Elevation Myocardial Infarction (NSTEMI) and suspected Chronic Obstructive Pulmonary Disease (COPD) in the Emergency Department (ED). The subject was one adult patient with complaints of acute shortness of breath and a history of smoking, purposively selected based on clinical emergencies that require immediate intervention. Management was carried out using the ABCDE (Airway, Breathing, Circulation, Disability, Exposure) approach, including airway evaluation and intervention, ventilatory support, hemodynamic stabilization, assessment of neurological status with the Glasgow Coma Scale (GCS), and identification of additional clinical findings through supporting examinations. Proper emergency management in the emergency room with the ABCDE approach shows effective results in restoring breathing, ensuring systemic oxygenation, and preventing complications due to respiratory failure.

Pengaruh Edukasi Kesehatan Terhadap Perubahan Peran Pada Ibu Postpartum Remaja Dengan Defisit Pengetahuan: Studi Kasus

Yusinta Eka Sari, Sri Sumaryani, Noor Wulandari — Sen, 30 Jun 2025 00:00:00 +0000

The postpartum period is an important period for mothers after giving birth, especially for adolescents who are in the transition period towards adulthood. Adolescent mothers tend to face physical and psychological challenges and experience limited knowledge in caring for themselves and their babies due to unpreparedness to play the role of a mother. One effective intervention to overcome this problem is health education through health promotion media. This study aims to improve the knowledge of adolescent mothers regarding postpartum care, breastfeeding, and newborn care, as well as strengthen self-confidence in carrying out the role of a mother. The method used is a descriptive study with a case study approach on one adolescent postpartum patient who experienced a knowledge deficit. Data collection techniques include interviews, physical examinations, Gordon function pattern assessments, observations, and medical record reviews. Nursing interventions are provided in accordance with the Indonesian Nursing Intervention and Outcome Standards. The results showed an increase in understanding, active participation in education, and initial skills in breastfeeding and self-care practices. In conclusion, health education through promotion media has proven effective in improving the understanding and readiness of adolescent mothers to undergo the postpartum period.

Deskriptif Caregiver Dalam Merawat Pasien Gangguan Jiwa

Larasuci Arini, Zadrian Ardi, Daharnis, Setiadi Syarli — Sen, 30 Jun 2025 00:00:00 +0000

This study aims to describe the psychosocial conditions of caregivers who care for patients with mental disorders and identify their needs for guidance and counseling services. Using a quantitative approach with a descriptive design, 45 caregivers in the working area of the Pariaman City Community Health Center were selected as research respondents through random sampling. Data were collected using a structured questionnaire measuring care burden, coping strategies, social support, and other psychosocial needs. The results of the study indicate that the majority of caregivers experience moderate to heavy care burdens, with dominant coping strategies being passive and religious in nature. The social support received primarily comes from the immediate family, while community support remains low due to stigma surrounding mental disorders. A total of 88.9% of caregivers reported needing counseling and guidance services. These findings underscore the importance of psychosocial assessment as a foundation for developing contextually appropriate counseling interventions to enhance caregivers' mental resilience and support patients' holistic recovery..

Studi Kasus: Asuhan Keperawatan Keluarga Dengan Penerapan Foot Massage Pada Lansia Dengan Hipertensi

Utari Hasan, Ezalina, Candra Saputra, Afrida Sriyani Harahap — Sen, 30 Jun 2025 00:00:00 +0000

Elderly individuals are those who are over 60 years old. Older individuals often develop hypertension due to the stiffening and loss of flexibility in their blood vessels with age. Consequently, the heart must exert more effort to circulate blood, resulting in elevated blood pressure. Purpose of this final nursing thesis is to provide an overview of the results of the Nurse Profession practice with the application of family nursing care through foot massage therapy for the nursing problem of ineffective family health management in elderly individuals with hypertension in Sungai Putih Village, Tapung District, Kampar Regency. Method : The method used is a case study, involving the administration of Foot Massage therapy to individuals with hypertension. The writing will take place from February 15 to 20, 2025. The foot massage is performed day for 3 days, with each session lasting 6 minutes, and each foot receiving 3 minutes of massage. This case study demonstrates that after three days of foot massage treatment, there is a considerable disparity in the family's efficacy in executing the required tasks before and after the therapy. Moreover, a notable disparity exists in pain severity before to and during foot massage treatment in older persons with hypertension. The application of Foot Massage is very effective in elderly hypertension if done regularly can lower blood pressure. Foot massage or foot massage can be an effective non-pharmacological therapy to lower blood pressure in people with hypertension. Foot massage can provide a relaxing effect that can smooth blood flow and body fluids, and relieve stress that can increase blood pressure.

Latihan Range of Motion (ROM) dan Kompres Hangat Terhadap Peningkatan Kekuatan Otot pada Lansia Stroke: Laporan Kasus

Ayu Annisa Putri, Dinasti Pudang Binoriang — Sen, 30 Jun 2025 00:00:00 +0000

Stroke is a health problem that is often experienced by the elderly due to decreased heart organ function, with the prevalence of cases increasing with age by 7.4% in the world and in Indonesia 23.6 per-mile. Non-invasive alternative therapy is considered as a complementary therapy that is easy to do, one of which is range of motion (ROM) exercises, which are types of exercises that aim to maintain or improve joint mobility, muscle mass and tone. Warm compresses are a therapy that provides a warm sensation to the skin that can deactivate nerve fibers so that they relax muscles, reduce muscle spasms and pain. According to research, ROM exercises combined with warm compresses have shown effectiveness in increasing muscle strength in stroke patients. The lack of implementation of these interventions due to the limited abilities of the elderly, makes the elderly with stroke experience hemiparesis or continuous weakness of the limbs. This study aims to see the effect of ROM exercises combined with warm compresses on increasing muscle strength in elderly patients with stroke. The research method used is a case report by conducting interventions on the elderly with ischemic stroke who experience hemiparesis in Padukuhan Gunungan, Bambanglipuro, Bantul, Yogyakarta. This research instrument uses blood pressure and muscle strength measurements before and after the intervention. The intervention was given in 8 meetings with a frequency of 1x/week for 60 minutes each session with a therapy aid. The results showed changes in blood pressure before and after the intervention and an increase in the patient's muscle strength. Based on the study, it can be concluded that there is potential for increased muscle strength in the elderly with stroke, but further quasi-experimental studies with larger samples are needed to confirm the existing findings.

Literature Review: Psikologis pada Penderita Diabetes Melitus

Sen, 30 Jun 2025 00:00:00 +0000

Diabetes mellitus (DM) is a chronic disease that is suffered throughout life. Diabetes sufferers are required to change their lifestyle and undergo routine treatment at high costs. Lifestyle changes trigger psychological distress that appears in the form of feelings of sadness, nervousness, despair, anxiety, feelings of depression, efforts made in vain & useless. This can interfere with the diabetes treatment process. Psychological stress can have an impact on the healing of diabetes. This literature review aims to determine the psychological analysis of diabetes mellitus sufferers. The method used in the literature review uses a literature database that is adjusted to the topic of discussion. The results of the psychological analysis and synthesis that occur in diabetes sufferers include stress, anxiety and depression. Its recommended that the health care team, especially mental health nurses, provide education and complementary therapy related to psychological distress that occurs in chronic sufferers