BIMIKI (E-Journal)
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ASUHAN KEPERAWATAN KELUARGA DENGAN PENERAPAN DIET DASH DALAM MENURUNKAN TEKANAN DARAH PADA PENDERITA HIPERTENSI DI DESA MONGOLATO: FAMILY NURSING CARE USING THE DIETARY APPROACHES TO STOP FOR HYPERTENSION TO REDUCE BLOOD PRESSURE IN HYPERTENSION PATIENTS IN MOGOLATO VILLAGE
Introduction: Hypertension is still a health problem that is big enough to be overcome. The management of hypertension can be done one of them in a non-pharmacological way, namely through the Dietary Approaches to Stop Hypertension (DASH). The research aimed to apply the DASH diet to reduce blood pressure in hypertensive patients in Mongolato Village, Gorontalo District.
Method: The research method used a case study design with a process approach. The samples were 3 residents who had hypertension. Data collection techniques were obtained from interviews and observations using guidebooks and physical examination using vital signs measuring devices such as a sphygmomanometer/sphygmomanometer. The instruments used were daily menu guides (booklets), observation sheets, and standard procedures for administering the DASH diet. The study was conducted for 3 days visit. The DASH diet is given 3 times a day, namely the breakfast menu, lunch menu and dinner menu.
Results: The results showed a decrease in blood pressure as well as several other changes. In subject 1 blood pressure fell from 160/100 to 140/90 mmHg, in subject II blood pressure fell from 150/100 to 140/80 mmHg, and in subject III blood pressure fell from 160/100 to 150/90 mmHg.
Conclusion: The application of the DASH diet to hypertensive patients has proven effective in overcoming hypertension problems, as indicated by changes in systolic and diastolic blood pressure results. This DASH diet therapy can be continued independently when the patient's hypertension reappears, so that it can overcome the problem of nursing high blood pressure patients
ASUHAN KEPERAWATAN KELUARGA DALAM MENINGKATKAN KEMANDIRIAN KELUARGA DENGAN PENERAPAN HEALTH BELIEF MODEL DI DESA MONGOLATO: FAMILY NURSING CARE IN INCREASING FAMILY INDEPENDENCE WITH THE APPLICATION OF THE HEALTH BELIEF MODEL IN MONGOLATO VILLAGE
Introduction: Diabetes mellitus is a group of metabolic diseases with blood sugar characteristics exceeding normal values where the patient's body cannot automatically control the level of sugar in the blood.
Methods: The research method uses a case study design with a nursing process approach. The subjects in this study were 3 residents in Mongolato Village who had diabetes mellitus. Data collection techniques were obtained from interviews and observations using booklet guides and checking blood sugar levels. The instruments used are observation sheets, as well as standard therapeutic procedures for providing health belief models. The study was conducted during a 3-day visit.
Results: The results showed a decrease in blood sugar levels. In subject 1 blood sugar levels dropped from 270 mg/dl to 116 mg/dl, in subject 2 blood sugar levels dropped from 314 mg/dl to 118 mg/dl, and in subject 3 blood sugar levels dropped from 250 mg/dl to 114 mg/dl.
Conclusion: Based on the description above, the application of the Health Belief Model using the perceived susceptibility dimension can reduce blood sugar levels in patients with diabetes mellitus as indicated by changes in blood sugar levels. So that the health belief model can be used as one of the therapies to overcome nursing problems in patients with diabetes mellitus
HUBUNGAN KUALITAS TIDUR DENGAN DERAJAT HIPERTENSI DI POSBINDU DESA PANERUSAN WETAN BANJARNEGARA: THE CORRELATION BETWEEN HYPERTENSION DEGREE AND SLEEP QUALITY IN PANERUSAN WETAN VILLAGE INTEGRATED POST BANJARNEGARA
Introduction: The incidence of hypertension in Central Java, 8,700,512 persons, or 30.4% of the population, have hypertension by the time they are over 15 years old in 2021. Based on the results of measurements on residents aged 18 years and over according to characteristics in Central Java, the highest was in the female sex (40.17%) compared to the male sex (34.17%). Some of the risk factors that lead to hypertension include genetic factors, gender, age, diet, obesity, and lifestyle such as smoking and consuming alcohol. Sleep quality plays an important role for every individual in maintaining sleep conditions and achieving the right REM and NREM sleep stages. The aim of these findings is to identify the characteristics of respondents, characteristics of the degree of hypertension, sleep quality and analyze the relationship between sleep quality and degree of hypertension.
Methods: This research applies quantitative through a non-experimental design, data collected using a cross-sectional approach, the total population is 120 respondents with a sample size of 92 respondents.
Result: The results of this study indicate that 70 respondents (76,1%) experienced poor sleep quality. In mild hypertension, there were 43 respondents (46.7%)
HUBUNGAN AKSES AIR MINUM DAN SANITASI PADA KELUARGA DENGAN KEJADIAN STUNTING: SCOPING REVIEW: THE RELATIONSHIP BETWEEN FAMILY ACCESS TO DRINKING WATER AND SANITATION AND THE INCIDENCE OF STUNTING: A SCOPING REVIEW
Introduction: Water and soil have a role in the transmission of disease. Cases of malnourished children under five have the potential to increase due to inadequate latrine facilities and drinking water quality. This review aims to decide the relationship between family access to drinking water and sanitation and the incidence of stunting to analyze the next prevention.
Methods: The approach taken is a scoping review by identifying articles in PubMed, CINAHL, and Sage from 2012-2022. The keywords used were "family, clean water and sanitation, stunting" developed with the PICO framework.
Result: Five articles were included in the analysis. Three of the five studies concluded a significant association between family access to drinking water and sanitation and the incidence of stunting. This was also related to the management and storage of water for drinking and family hygiene behaviors.
Conclusion: Access to drinking water and sanitation is associated with stunting. Interventions are needed not only in infrastructure development to provide access to clean water and affordable latrines but also to increase public awareness
PENGGUNAAN VIRTUAL REALITY PADA PASIEN DI RUANG INTENSIVE CARE UNIT (ICU) : SEBUAH TINJAUAN LITERATUR: VIRTUAL REALITY IN INTENSIVE CARE UNIT : A LITERATURE REVIEW
Background: In addition to physical issues, the critical condition that the ICU patients experience also causes a psychological impact that lasts until they leave the ICU treatment. Virtual reality is one of the latest innovations utilized to support the treatment in the ICU. Virtual reality is one of the supporting tools in non-pharmacology interventions to reduce anxiety, stress, and sleep deprivation, as well as mitigate post-traumatic disorder syndrome or PTSD. The research aims to describe the framework for utilizing virtual reality to reduce anxiety, stress, and sleep deprivation, as well as mitigate post-traumatic disorder syndrome. As well as to see how feasible it is to utilize this technology from the security and usage tolerance perspective.
Method: The methode was a literature review. The author search the articles on Google Scholar by filtering search results based on the publication year, article title, and abstract. The research resulted in ten articles to be the literature review.
Result: The search result found ten articles discussing virtual reality on ICU patients as an intervention to reduce anxiety, pain, and sleep deprivation. The research also found that it is feasible to use Virtual reality as an intervention media. From the safety perspective, the technology is safe due to being regularly disinfected and not affecting other life-support tools that the patients need. It also has minimum side effects during usage.
Conclusion: Virtual reality is effective in reducing anxiety, pain, and sleep deprivation in ICU patients. From the safety viewpoint and usage tolerance, the technology is safe and feasible for ICU patients.
 
DESCRIPTION OF ILLNESS PERCEPTION IN DIABETIC RETINOPATHY PATIENTS AT RSD DR. SOEBANDI JEMBER: GAMBARAN PERSEPSI PENYAKIT PADA PASIEN RETINOPATI DIABETIK DI RSD DR. SOEBANDI JEMBER
Introduction: Diabetic retinopathy patients have different perceptions about how to take care of themselves. Some have a negative perception of dealing with their illness, which can cause the patient to become depressed, it affects the patient in controlling blood sugar levels, so increasing risk of developing diabetic retinopathy. The negative illness perception causes the patient's lack of awareness to check his eye condition regularly so that it can affect the patient's health condition. This study aimed to analyze the illness perception in patients with diabetic retinopathy at RSD dr. Soebandi Jember.
Method: This research was quantitative research using a descriptive design. Respondents in this study were 34 diabetic retinopathy patients obtained by the total sampling technique. Data were collected using the Brief Illness Perception Questionnaire (B-IPQ) and analyzed using univariate data analysis.
Result: The results showed an average value of illness perception was 51.44 (SD = 16.85), indicating that diabetic retinopathy was still considered a threat by the respondents. The indicator with the highest value is concern, while the indicator with the lowest value is treatment control. In this study, patients perceive their disease as a threat due to a lack of knowledge about diabetic retinopathy, symptoms of the disease, and patient concerns about their disease.
Conclusion: The patient's illness perception needs to be formed to overcome the disease because it can impact the patient's health. One factor influencing illness perception is knowledge because patients with good knowledge can implement the information they have to maintain their health. Providing health education about diabetic retinopathy is needed to improve the patient's perception of the disease
STUDI KASUS: PERAWATAN PAYUDARA DAN PIJAT OKSITOSIN TERHADAP PRODUKSI ASI PADA IBU MENYUSUI DI RSUD Dr. MM. DUNDA LIMBOTO: CASE REPORT: BREAST TREATMENT AND OXYTOCIN MASSAGE ON BREAST MILK PRODUCTION IN BREASTFEEDING MOTHERS AT DR. MM. DUNDA LIMBOTO
Introduction: Breast milk is not smooth caused by a lack of the hormone oxytocin. One of method to increasing milk production is stimulate the production of the hormone oxytocin through breast care and oxytocin massage. The study aimed to be able to apply breast care and oxytocin massage to milk production in nursing mothers
Methods: The research design used descriptive observational. The sample is 3 respondents. The inclusion criteria: 1) postpartum mothers who had problems with milk production. 2) the mother gave birth to a live baby. 3) mothers who breastfeed their babies. 4) composmentis mother awareness. 5) mothers are willing to be respondents. The exclusion criteria: 1) mothers who gave birth with postnatal complications. Breast milk production is measured by looking at the observation sheet with the criteria for smooth milk production, if the score is ≥ 3 and the milk production is not smooth, the score is < 2.
Results: The results obtained an average score before the intervention was 0.3 (< 2), which means that milk production was not smooth. Meanwhile, the average score after the intervention was 5 (≥ 3), which means that milk production is smooth. There is an effect of the intervention on the milk production of breastfeeding mothers.
Conclusion: Breast care and oxytocin massage can affect milk production in breastfeeding mothers at Dr.MM Dunda Limboto Hospital. Breast care and oxytocin massage can be continued independently when breast milk is not flowing smoothly, so it can overcome the problem of milk production not flowing smoothly
THE EFFECT OF AN INTERACTIVE HEALTH EDUCATION ON INCREASING KNOWLEDGE ABOUT STUNTING IN ADOLESCENTS AT RURAL OF MAYANG: PENGARUH PENDIDIKAN KESEHATAN SECARA INTERAKTIF TERHADAP PENINGKATAN PENGETAHUAN TENTANG STUNTING PADA REMAJA DESA MAYANG
Introduction: Stunting is a nutritional problem in Indonesia that needs serious treatment. The cycle of stunting in Indonesia needs to be broken with a series of programs. The youth empowerment program has the potential to be carried out as a strategic step in breaking the stunting cycle.
Methods: The method used in this research is pre-experimental using a one-group pretest and posttest approach. The sample used in this study was Mayang village youth who were selected by purposive sampling technique. The instrument used was a knowledge questionnaire about stunting based on previous research. The statistical test used in data processing is the Paired T-Test.
Result: Based on the test results showed that p value = 0.001 (p < 0.05) which means that interactive health education has a significant effect on knowledge about stunting in respondents.
Conclusion: Health education using interactive methods has a significant effect on increasing adolescents knowledge about stunting in Mayang Village
IMPLEMENTATION OF SDKI AND SIKI IN COPD PATIENTS WITH NURSING PROBLEMS INEFFECTIVE AIRWAY CLEARANCE: IMPLEMENTASI SDKI DAN SIKI PADA PASIEN PPOK DENGAN MASALAH KEPERAWATAN AIRWAY CLEARANCE INEFEKTIF
Background: Ineffective airway clearance is one of the nursing problems that cause a decrease in health quality in COPD patients. Nurses need evidence-based nursing practice to enforce and overcome the nursing problem of ineffective airway clearance quickly and precisely.
Purpose: This study aims to identify the signs and symptoms of major/minor ineffective airway clearance in COPD patients and identify the implementation of independent nursing actions to overcome these problems.
Methods: This study uses a descriptive research design with a secondary data analysis approach that comes from the nursing care documentation of 22 respondents in 12 final project reports for the D3 Nursing Study Program FKEP UNEJ Campus Lumajang in the period 2018 to 2020. Data on major/minor signs and symptoms, as well as the implementation of independent nursing actions (based on SDKI and SIKI) identified, are presented in the distribution table for further discussion.
Results: The major signs that always appeared in all respondents included: excessive sputum and additional breath sounds, and minor signs included: dyspnea and change in respiratory rate (95% of respondents). Implementation of independent nursing actions includes: giving a semi-fowler/fowler position (91% of respondents), practicing effective coughing techniques (77% of respondents), giving warm drinks (68% of respondents), doing chest physiotherapy (59% of respondents), giving oxygen therapy (36% of respondents), providing fluid intake of 2000 ml/day (18% of respondents).
Conclusion: The results of this study become clinical evidence-based information that nurses can implement to increase success in caring for COPD patients with ineffective airway clearance in hospitals. 
PENGALAMAN PERSIAPAN KEHAMILAN IBU PRIMIGRAVIDA DI KABUPATEN SIDENRENG RAPPANG: PREGNANCY EXPERIENCE OF PRIMIGRAVIDA MOTHERS IN SIDENRENG RAPPANG REGENCY
Introduction: Treatment in preparation for pregnancy usually includes a physical examination, supporting examinations, immunization, nutritional supplementation, and health consultation. One of the puskesmas that implements care in preparation for pregnancy is the Manisa Health Center in Sidenreng Rappang Regency. However, these services are still classified as limited because they are not by the program issued by the Ministry of Health.Methods: This research uses a qualitative study with a phenomenological approach through in-depth interviewtechniques. Participants in this study amounted to 13 people who were selected by purposive sampling.Result: The results of the theme analysis are (1) independent efforts to prepare for pregnancy, (2) limitedhealth services in preparation for pregnancy, (3) traditional medicine in preparation for pregnancy.Conclusion: The independent efforts of primigravida mothers are supported by their families and thepeople around them. Participants visited the health service for a tetanus toxoid injection. In addition, someparticipants visited several areas to perform traditional medicine