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    PENERAPAN TEKNIK BREAST CARE UNTUK MENINGKATKAN PRODUKSI ASI PADA IBU POST PARTUM DENGAN MASALAH KEPERAWATAN MENYUSUI TIDAK EFEKTIF Di Rumah Sakit Umum Muhammadiyah Ponorogo

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    Breastfeeding is an activity that has a positive impact on postpartum mothers. One of the obstacles to early breastfeeding is low milk production, which causes ineffective breastfeeding in postpartum mothers. This can be caused by an inadequate milk supply. This case report aims to apply breast care techniques to increase milk production in postpartum mothers with ineffective breastfeeding problems. Nursing care was provided in the Siti Walidah Room at the Muhammadiyah Ponorogo General Hospital for 5 days, from August 5 to 9, 2025. The method used was a nursing process approach for Mrs. R, who had ineffective breastfeeding, using a breast milk flow observation sheet as an assessment tool. The assessment results showed that the client felt that her baby was not satisfied with the amount of breast milk produced, the baby was easily fussy, and it was found that very little breast milk was produced. An alternative measure to overcome this nursing problem was to use the Breast Care Technique. After applying the Breast Care for 5 days, it was found that this technique could increase breast milk production. Ineffective nursing care for breastfeeding clients due to inadequate breast milk supply is expected to serve as a reference for postpartum mothers who are breastfeeding so that they can prevent ineffective breastfeeding by independently applying the Breast Care Technique when the complaint occurs

    IMPLEMENTASI EDUKASI KESEHATAN MENGGUNAKAN VIDEO DAN LEAFLET PADA PASIEN PPOK DENGAN MASALAH KEPERAWATAN PEMELIHARAAN KESEHATAN TIDAK EFEKTIF DI RUANG DARWIS RSUM PONOROGO

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    Penyakit Paru Obstruktif Kronis (PPOK) merupakan penyakit kronis dengan prevalensi tinggi serta berdampak signifikan terhadap morbiditas dan mortalitas. Salah satu isu keperawatan yang sering ditemukan pada pasien dengan PPOK adalah ketidakmampuan dalam mempertahankan kesehatan secara efektif.” yang dipengaruhi oleh keterbatasan pengetahuan dan keterampilan dalam mengelola penyakit. Intervensi edukasi kesehatan dengan media video dan leaflet di nilai mampu meningkatkan kemandirian pasien dalam perawatan diri. Tujuan dari penelitian ini adalah untuk menganalisa implementasi edukasi kesehatan menggunakan video dan leflet pada pasien ppok dengan masalah keperawatan tidak efektif. Penelitian ini menggunakan desain studi kasus pada pasien PPOK di Ruang Darwis Rumah Sakit Umum Muhammadiyah Ponorogo. Dalam proses keperawatan terdapat rangkaian kegiatan mulai dari pengkajian, analisis data, penetapan diagnosis, pelaksanaan edukasi berbasis media video dan leaflet, hingga tahap evaluasi intervensi. Hasil menunjukkan bahwa ada peningkatan perilaku adaptif, pemahaman perilaku sehat, peningkatan kemampuan dalam menjalankan perilaku sehat, seperti berhenti merokok, rutin minum obat, rutin olahraga, dan memanfaatkan fasilitas kesehatan. Pasien juga mengalami peningkatan motivasi serta keterampilan dalam melakukan perawatan kesehatan secara mandiri. Media video efektif mempermudah pemahaman, sedangkan leaflet berfungsi sebagai pengingat berulang. Temuan ini konsisten dengan penelitian sebelumnya mengenai efektivitas media edukasi kombinasi. Edukasi kesehatan berbasis video dan leaflet terbukti Memberikan kontribusi terhadap peningkatan pengetahuan, motivasi, dan keterampilan pasien PPOK, sekaligus mendorong tercapainya pemeliharaan kesehatan yang lebih optimal.”. Kata kunci: PPOK, Edukasi Kesehatan, Video, Leaflet, Pemeliharaan Kesehatan Tidak Efekti

    PENERAPAN TERAPI INHALASI UAP MINYAK KAYU PUTIH PADA PASIEN ANAK PNEOMONI DENGAN BERSIHAN JALAN NAFAS TIDAK EFEKTIF DI RUMAH SAKIT UMUM MUHAMMADIYAH PONOROGO

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    ABSTRACT APPLICATION OF EUCALYPTUS OIL STEAM INHALATION THERAPY IN CHILDREN WITH PNEUMONIA AND INEFFECTIVE AIRWAY CLEARANCE AT MUHAMMADIYAH GENERAL HOSPITAL PONOROGO Elli Wahyuni Faculty of Health Sciences, Muhammadiyah University of Ponorogo E-mail: [email protected] Pneumonia is one of the leading causes of morbidity and mortality in children, especially those under five years old, often resulting in the nursing problem of ineffective airway clearance. Ineffective airway clearance occurs when an individual is unable to expel secretions from the respiratory tract, disrupting ventilation and gas exchange. One non-pharmacological intervention is steam inhalation therapy with eucalyptus oil, which has mucolytic, mild bronchodilator, anti-inflammatory, and antimicrobial effects. This study aims to examine the application of eucalyptus oil steam inhalation therapy in children with pneumonia and ineffective airway clearance at RSU Muhammadiyah Ponorogo. A case study was conducted on a patient, An. Z, aged 7 years, over five days from August 22 to 26, 2025. The nursing process included assessment, nursing diagnosis, planning, implementation, and evaluation. Assessment revealed the patient experienced dyspnea and productive cough with difficulty expectorating sputum. The nursing diagnosis was ineffective airway clearance related to secretion accumulation. Implementation of eucalyptus oil steam inhalation therapy followed nursing standards, and evaluation showed improved respiratory rate, reduced cough, and the patient was able to perform the therapy independently. In conclusion, eucalyptus oil steam inhalation therapy is effective in enhancing airway clearance in children with pneumonia. Keywords: Pneumonia, ineffective airway clearance, steam inhalation therapy, eucalyptus oil

    SISTEM PENDUKUNG KEPUTUSAN PENILAIAN GURU TERBAIK DENGAN METODE SIMPLE ADDITIVE WEIGHTING (SAW)

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    In an effort to improve the quality of schools, SMPN 1 Bendo conducts teacher performance assessments to ensure that teachers carry out their duties and responsibilities well so that the predetermined competency standards can be achieved. However, there is no system that supports the assessment so that the assessment does not consume a lot of energy, time and money. Therefore, a decision support system for the best teacher assessment will be built using the simple additive Weighting (SAW) method, to make it easier for SMPN 1 Bendo to conduct assessments for selecting the best teachers. The system development method used in this study is the Rapid Application Development (RAD) method. The stages are planning, design workshops, and implementation. The results of this study are that the best teacher decision support system is ready to be used effectively in supporting the best teacher assessment process at SMPN 1 Bendo. The success of this implementation shows that the SAW algorithm can be applied optimally in multi-criteria-based decision making. Keywords: Rapid Application Development (RAD) Method, Simple Additive Weighting (SAW) Method, Decision Support System, SMPN 1 Bend

    IMPLEMENTASI METODE FUZZY TSUKAMOTO PADA SISTEM PENDUKUNG KEPUTUSAN REKOMENDASI PEMBUATAN SURAT KETERANGAN TIDAK MAMPU

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    Pembuatan surat keterangan tidak mampu merupakan upaya pemerintah untuk membantu memenuhi kebutuhan masyarakat sesuai dengan peraturan yang berlaku. Permasalahan yang dihadapi dalam pemberian surat keterangan tidak mampu ini adalah kurangnya data yang akurat, penilaian yang subjektif dan pemberian surat keterangan tidak mampu yang tidak tepat sasaran, hal ini terjadi karena belum adanya sistem rekomendasi pembuatan surat keterangan tidak mampu. Hal tersebut tidak efesien dan tidak sesuai Keputusan Menteri Sosial Republik Indonesia Nomor 146/HUK/2013, tentang Penetapan Kriteria dan Pendataan Fakir Miskin dan Orang Tidak Mampu. Berdasarkan permasalahan tersebut akan dibangun sistem yang dapat membantu pemerintah Desa Joresan, Kecamatan Mlarak, Kabupaten Ponorogo. Metode perhitungan yang digunakan ialah Metode Fuzzy Tsukamoto dengan aturan berbasis IF-THEN direpresentasikan dengan suatu himpunan fuzzy dengan fungsi keanggotaan yang monoton. Sistem ini diharapkan dapat memberikan rekomendasi berdasarkan kriteria yang jelas dan objektif, sehingga proses pemberian surat menjadi lebih adil dan tepat sasaran

    STRATEGI KOMUNIKASI NEGOSIASI PAGUYUBAN SENI JARANAN PRAWIRO GATI TARUNO DAN REOG SARDULO GATI DESA GLINGGANG

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    ABSTRAK STRATEGI KOMUNIKASI NEGOSIASI PAGUYUBAN SENI JARANAN PRAWIRO GATI TARUNO DAN PAGUYUBAN REOG SARDULO GATI DESA GLINGGANG Bagus Adi Saputra 19240737 Penelitian ini menganalisis strategi komunikasi negosiasi yang diterapkan oleh Paguyuban Jaranan Prawiro Gati Taruno dan Reog Sardulo Gati dalam membangun kolaborasi, menggunakan kerangka Dual Concern Theory (Pruitt & Rubin, 1986). Teori ini menyoroti keseimbangan antara kepentingan diri sendiri (concern for self) dan kepentingan pihak lain (concern for others) sebagai dasar dalam menentukan pendekatan negosiasi. Penelitian menggunakan metode kualitatif deskriptif, dengan data yang diperoleh melalui wawancara mendalam, observasi partisipatif, dan analisis dokumen. Hasil penelitian menunjukkan bahwa kedua paguyuban mengadopsi pendekatan integratif, di mana mereka berupaya memenuhi kepentingan masing-masing sembari menjaga hubungan kolaboratif. Prawiro Gati Taruno menekankan pada pelestarian nilai seni jaranan, sementara Sardulo Gati fokus pada penguatan identitas reog sebagai simbol budaya lokal. Strategi komunikasi yang digunakan meliputi dialog terbuka, empati budaya, dan pembentukan kesepakatan bersama yang berorientasi pada keuntungan timbal balik. Faktor kepercayaan dan penghormatan terhadap perbedaan tradisi menjadi kunci utama keberhasilan negosiasi. Penelitian ini menyimpulkan bahwa penerapan Dual Concern Theory efektif dalam menciptakan sinergi antara kedua paguyuban. Rekomendasi mencakup penguatan kapasitas komunikasi pemimpin paguyuban dan penggunaan media digital untuk mendukung koordinasi. Temuan ini diharapkan dapat menjadi referensi dalam mengelola negosiasi serupa di bidang seni tradisional. Kata Kunci: strategi komunikasi, negosiasi, teori Dual Concern, kolaborasi, jaranan, reog, Prawiro Gati Taruno, Sardulo Gati

    PENERAPAN MOBILISASI DINI PADA PASIEN POST APENDIKTOMI DENGAN MASALAH KEPERAWATAN GANGGUAN MOBILITAS FISIK DI RUANG JUPITER RSAU DR. EFRAM HARSANA LANUD ISWAHYUDI MAGETAN

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    ABSTRAK PENERAPAN MOBILISASI DINI PADA PASIEN POST APENDIKTOMI DENGAN MASALAH KEPERAWATAN GANGGUAN MOBILITAS FISIK (Studi Kasus di RSAU dr. Efram Harsana Lanud Iswahyudi) Oleh : Eryani Asmarani NIM. 24650437 Appendiktomi yaitu pembedahan untuk mengangkat apendiks. Masalah yang terjadi akibat post operasi mengakibatkan timbulnya luka pada bagian tubuh sehingga menimbulkan nyeri dan menjadi salah satu alasan untuk tidak ingin bergerak atau melakukan mobilisasi dini sehingga menggangu kembali aktivitas pasien sehingga mengalami gangguan mobilitas fisik. Mobilisasi dini merupakan faktor yang utama dalam mempercepat pemulihan dan mencegah terjadinya komplikasi pasca bedah. Srudi kasus ini bertujuan untuk melakukan asuhan keperawatan pada pasien post apendiktomi dengan gangguan mobilitas fisik Penerapan Mobilisasi Dini pada pasien Post Apendiktomi dilakukan di RSAU dr. Efram Harsana Lanud Iswahyudi Magetan selama 5 hari pada bulan September 2024. Metode pengumpulan data yang digunakan yaitu wawancara, observasi dan dokumentasi, dengan menggunakan format asuhan keperawatan. Hasil pengkajian yang didapatkan dari pasien post apendiktomi masalah keperawatan yang muncul adalah gangguan mobilitas fisik. Intervensi yang dilakukan selama 5 hari perawatan. Tindakan keperawatan yang dilakukan untuk mengatasi masalah yaitu mobilisasi dini. Hasil evaluasi pada pasien post apendiktomi yang didapatkan masalah gangguan mobilitas fisik dapat teratasi. Penerapan Mobilisasi Dini pada pasien Post Apendiktomi dengan gangguan mobilitas fisik diharapkan dapat menjadi Gambaran bagi perawat khususnya dalam penanganan pasien post apendiktomi dengan Tindakan mobilisasi dini. Kata Kunci : Gangguan Mobilitas Fisik, Mobilisasi Dini, Post Apendiktom

    PENGARUH E-SERVQUAL DAN COSTUMER ENGAGEMENT TERHADAP KEPUTUSAN PEMBELIAN ULANG DENGAN E-SATISFACTION SEBAGAI VARIABEL INTERVENING (Studi Kasus pada Followers Instagram @oskacamata)

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    Abstract The aim of this research is to determine the influence of E-Servqual and Customer Engagement on Repurchase Decisions with E-Satisfaction as an intervening variable on @oskacamata Instagram Followers. Oskacamata Instagram followers are the population in this study. The sample taken for research was 100 respondents. Purposive random sampling is the sampling technique used. data collection using questionnaires. A 5-level Likert scale was used for measurement and then data processing using the SPSS (Statistical Product and Service Solution) application for Windows version 25. Data analysis processing in this research used multiple linear regression and path analysis. Keywords : E-Satisfaction, Repurchase Decision, Customer Engagement, E-Servqual

    HUBUNGAN TINGKAT KECEMASAN DENGAN KUALITAS TIDUR LANSIA DI POSYANDU FLAMBOYAN DESA PLALANGAN KECAMATAN JENANGAN KABUPATEN PONOROGO

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    Based on data from the Central Statistics Agency in 2018, Indonesia is heading towards an Aging Population. The elderly experience many health problems due to decreased body function, both physical, physiological, and psychological. One of the psychological problems in the elderly is anxiety. Anxiety in the elderly can reduce concentration and alertness, increase health risks, and damage the immune system, one of the symptoms of anxiety is difficulty sleeping. Difficulty sleeping will cause the elderly to lack sleep and can affect physical,cognitive, and quality of life. This study aims to determine the relationship between anxiety levels and sleep quality in the elderly at the Flamboyan Posyandu, Plalangan Village, Jenangan District, Ponorogo Regency. The research method is using correlational research with a cross-sectional approach. The population in this study was some of the elderly at the Flamboyan Posyandu in Plalangan Village, Jenangan District, Ponorogo Regency, totaling 40 elderly people. The instrument used in this study was a questionnaire. Data analysis of this study used the Spearman Rank test. The results of the study showed that most of the elderly who experienced moderate anxiety were 16 respondents (51.6%) and most of them experienced poor sleep quality, 18 respondents (58.1%). The results of the Spearman Rank test showed that p-value = 0.000 <0.05, so this indicates that H0 is rejected, and H1 is accepted, which means that there is a relationship between anxiety levels and sleep quality in the elderly at the Flamboyan Posyandu, Plalangan Village, Jenangan District, Ponorogo Regency. It can be concluded that the level of anxiety is closely related to the sleep quality of the elderly in Plalangan Village, Jenangan District, Ponorogo Regency, where there is a tendency for the elderly who have low levels of anxiety to have good sleep quality, and vice versa. It is expected that elderly people in old age do not think too much about problems in their lives so that they do not have high levels of anxiety and can have good quality sleep Keywords: Anxiety Level, Sleep Quality, Elderl

    Analisis Evaluasi Manajemen Event Rawat Jagat Komunitas Konsorsium Kangen Pacitan Tahun 2024

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    This study examines the Rawat Jagat event held in Pacitan Regency, with a focus on promoting local culture and increasing public awareness of environmental issues. This research aims to find out the event management strategy carried out by the Kangen Pacitan Consortium as the organizing committee. The theory used in this study is the concept of event management put forward by Goldblatt which states that there are five stages in event management, namely research, design, planning, coordination and evaluating. This study uses a qualitative approach with a type of descriptive research, using data collection techniques through observation, interviews, and documentation. The results of this study show that the Kangen Pacitan Consortium as the organizing committee has carried out all stages of event management starting from the research stage to the evaluation stage in sequence. However, the researcher also identified that at the design, planning and coordination stages have not been carried out perfectly, such as ineffective coordination between the committee and presenters, incomplete publicity and inefficient stage layout. Suggestions for future improvements include improving communication, optimizing the stages of event management, and organizing events regularly. The results of this research are expected to provide insights for the development of similar events in the future and contribute to cultural and environmental preservation in Pacitan Regency

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