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PENGARUH TERAPI BERMAIN PUZZLE TERHADAP KECEMASAN ANAK PRA SEKOLAH SAAT HOSPITALISASI DI RSU AISYIYAH PONOROGO
Get PDFKecemasan merupakan gangguan psikologis yang dialami banyak orang, terutama anak-anak. Rawat inap dapat menjadi factor penyebab kecemasan pada anak. Anak-anak yang dirawat di rumah sakit menunjukkan rasa takut, cemas, dan menangis ketika orang tua meninggalkan mereka, menangis selama prosedur perawatan, menangis ketika perawat datang, dan tampak tegang selama prosedur perawatan. Salah satu cara untuk mengurangi kecemasan pada anak adalah melalui terapi bermain, seperti bermain puzzle dan mewarnai. Terapi ini dapat membantu anak-anak rileks dan memberikan distraksi selama rawat inap. Tujuan penenilitian ini adalah untuk mengetahui pengaruh terapi bermain puzzle terhadap kecemasan anak pra sekolah saat hospitalisasi di RSU ‘Aisyiyah Ponorogo.
Penelitian ini menggunakan metode quasi-eksperimental dengan desain kelompok kontrol pre test-post test dan menggunakan instrument skala kecemasan anak. Penelitian ini dilaksanakan dari bulan Juni hingga Juli 2025. Populasi penelitian adalah anak-anak prasekolah di Bangsal Marwa, Rumah Sakit Umum 'Aisyiyah Ponorogo sebanyak 34 responden, masing-masing kelompok terdiri dari 17 orang.
Hasil penelitian menunjukkan bahwa kelompok intervensi dan kontrol mampu menurunkan tingkat kecemasan, tetapi kelompok intervensi mengalami penurunan yang lebih signifikan. Analisis data penelitian menggunakan uji Wilcoxon menghasilkan nilai p = 0,000 (p<0,05), yang mengindikasikan adanya perbedaan yang signifikan antara kecemasan sebelum dan sesudah diberikan terapi bermain. Dengan demikian, terapi bermain terbukti efektif untuk menurunkan kecemasan pada anak yang sedang hospitalisasi di Rumah Sakit.
Diharapkan orangtua dapat mengaplikasikan pada kehidupan sehari-hari tentang distraksi bermain puzzle atau mewarnai ketika buah hatinya rewel atau mengalami kecemasan
Implementasi peraturan desa no. 3 tahun 2024 terhadap ketertiban penyelenggaraan hajatan di desa sidorejo
Get PDFPenelitian ini membahas implementasi Peraturan Desa Nomor 3 Tahun 2024 tentang ketertiban penyelenggaraan hajatan di Desa Sidorejo. Lahirnya peraturan ini dilatarbelakangi oleh kebutuhan masyarakat untuk menjaga keseimbangan antara tradisi hajatan dengan kepentingan ketertiban umum. Penelitian ini bertujuan untuk mengetahui bagaimana implementasi peraturan tersebut serta menganalisis faktor pendukung dan penghambat dalam pelaksanaannya. Hasil pembahasan menunjukkan bahwa meskipun Perdes telah mulai diterapkan dan mendapat respon positif dari sebagian masyarakat, namun masih terdapat hambatan berupa rendahnya pemahaman masyarakat, keterbatasan pengawasan aparatur desa, serta resistensi budaya. Oleh karena itu, dibutuhkan strategi sosialisasi yang intensif dan keterlibatan tokoh masyarakat untuk meningkatkan efektivitas penerapan Perdes ini
INTEGRASI MODERASI BERAGAMA DALAM KURIKULUM DAN BUDAYA SEKOLAH UNTUK MENINGKATKAN TOLERANSI PESERTA DIDIK DI SMPN 10 MADIUN
Get PDFThe Directorate General of Islamic Education needs to further commit to continuously developing the values of Islamic moderation (Islam rahmatan lil alamin). Currently, there have been widespread calls for educational institutions to integrate the values of religious moderation into the development of their school-based curricula. This study focuses on the integration of religious moderation into the curriculum development at SMPN 10 Madiun. The integration process involves various interactive and participatory teaching methods, as well as the use of technology to enhance students’ understanding of the importance of religious moderation. The resulting school culture not only shapes students with strong religious knowledge but also encourages the development of tolerant, empathetic, and diversity-sensitive individuals.
This study employs a qualitative research approach. The data collected are not limited to numerical figures but also include narrative insights derived from interviews and in-depth observations, allowing for a comprehensive conclusion. This research is descriptive in nature. Data collection techniques used include interviews, observations, and documentation. The data analysis technique is divided into three parallel flows: data condensation, data display, and drawing/validating conclusions.
The results of this research show: 1) The policy of implementing religious moderation values in the School-Based Curriculum (KSP) and School Culture at SMPN 10 Madiun significantly contributes to enhancing students’ tolerance and moderate attitudes, which are realized through activities such as “Religious Friday,” religious studies sessions, and interactive technology-based learning methods; 2) The implementation of religious moderation values to enhance students’ tolerance at SMPN 10 Madiun is integrated not only into the curriculum including intracurricular, co-curricular, and extracurricular activities aligned with the Profile of Pancasila Students but also into school culture through routine practices such as Religious Friday and religious study forums; 3) The implication of this integration shows that many students have demonstrated increased tolerance, empathy, and respect for diversity. This is largely due to the school community’s consistent implementation of religious moderation values for instance, through the Laka Lanting program (Classical Services and Anti-Bullying Counseling) initiated by the school counselor.
Keywords: Integration, Religious Moderation, Curriculum, School Cultur
ASUHAN KEPERAWATAN GAWAT DARURAT PADA PENDERITA KETOASIDOSIS DIABETIK DENGAN MASALAH KEPERAWATAN KETIDAKSTABILAN KADAR GLUKOSA DALAM DARAH
Get PDFDiabetic Ketoacidosis (DKA) is a complication of diabetes mellitus. Blood glucose instability is one of the primary nursing diagnoses in patients with Diabetic Ketoacidosis (DKA). Optimal nursing management of blood glucose fluctuations through both independent and collaborative nursing interventions is essential to anticipate the risk of persistent hyperglycemia. This case study aims to examine the implementation of nursing care for patients with DKA.
Nursing care for a patient with Diabetic Ketoacidosis experiencing blood glucose instability was carried out in the Emergency Unit and the Seruni Inpatient Ward of Dr. Harjono General Hospital Ponorogo over a four-day period, from June 10 to 13, 2025. The approach used in delivering this care followed the steps of the nursing process.
The initial assessment revealed that the patient experienced a decreased level of consciousness. Objectively, the patient appeared lethargic, with a weakened general condition, a GCS score of 6 (sopor), and supported by laboratory results indicating hyperglycemia at 555 mg/dL and positive ketone levels at 3. Nursing interventions included regular monitoring of blood glucose levels and providing education to the patient’s family regarding diabetes mellitus management. Evaluation of these interventions showed significant clinical improvement, marked by stabilized blood glucose levels, increased alertness, reduced drowsiness, and a decrease in complaints of fatigue and weakness.
The implementation of nursing care for patients with Diabetic Ketoacidosis experiencing blood glucose instability is expected to contribute as a reference for nursing practice, particularly in the management of patients with DKA and hyperglycemia.
Keywords : Diabetic Ketoacidosis, Glucose level instabilit
PENERAPAN POSISI SEMI FOWLER UNTUK MENGURANGI SESAK NAFAS PADA PASIEN PPOK DENGAN MASALAH KEPERAWATAN GANGGUAN POLA NAFAS DI RUANG DARWIS RSU MUHAMMADIYAH PONOROGO
Get PDFABSTRACT
APPLICATION OF THE SEMI FOWLER POSITION TO REDUCE SHORTNESS
OF BREATH IN COPD PATIENTS WITH NURSING PROBLEMS OF
BREATHING PATTERN DISORDERS IN THE DARWIS ROOM OF RSU
MUHAMMADIYAH PONOROGO
Susilowati
Nursing Professional Study Program, Faculty of Health Sciences,
Muhammadiyah University, Ponorogo
COPD is an irreversible condition characterized by shortness of breath
during activities and disruption of the flow of air in and out of the lungs.
Supporting intervention for this nursing problem by setting the semi-Fowler
position is positioning the patient in a half-sitting position by supporting the head
and shoulders using a pillow. The aim of this research is to determine the
application of the Semi-Fowler position to reduce shortness of breath in COPD
patients with nursing problems with impaired breathing patterns in the Darwis
Room at RSU Muhammadiyah Ponorogo.
This study was conducted on November 13-17, 2024 in the Darwis Room
of Muhammadiyah Ponorogo Hospital. The respondent was Mr. J who
experienced nursing problems of ineffective breathing pattern disorders related to
dyspnea and would be given a semi-Fowler position. The instrument used
Standard Operating Procedures and observation sheets. The intervention was to
provide a semi-Fowler position to patient Mr. J.
The results of the nursing evaluation based on progress notes showed that,
after being in the semi-fowler's position for 3x24 hours, the indicator criteria for
the results were fully achieved, the respiratory frequency decreased, there were
no wheezing sounds, and the SPO2 increased, the patient did not feel short of
breath during activities.
Based on the objective and subjective data available to Mr. So the
researchers concluded that the nursing problem of disturbed breathing patterns
related to dyspnea was resolved. It is hoped that this case study can provide an
overview and become a reference in applying the semi-Fowler position to
overcome breathing pattern disorders.
Keywords: COPD, breathing pattern disorders, dyspnea, semi-Fowler's position
PENERAPAN TERAPI DZIKIR PADA PASIEN PRE OPERASI SECTIO CAESAREA DENGAN MASALAH KEPERAWATAN ANSIETAS DI RSU MUHAMMADIYAH PONOROGO
Get PDFEvery woman wants a smooth delivery, but sometimes there are problems
that cause a cesarean section. Surgery usually causes anxiety. One way to reduce
anxiety is by dhikr, because dhikr provides benefits and reduces fear and anxiety.
The purpose of this study was to reduce anxiety by dhikr, which makes the heart
calm and reduces anxiety after surgery.
The design of this study is a case study with a qualitative approach. This
study was conducted on August 31, 2024 - September 05, 2024 in the Siti Walidah
Room, Muhammadiyah Ponorogo Hospital. The respondent was Mrs. R with a
cesarean section who experienced anxiety nursing problems and the intervention
carried out was the application of dhikr therapy to reduce anxiety. The instrument
uses Standard Operating Procedures and observation sheets.
The results of Mrs. R's study showed that the patient was confused about the
planned operation she would undergo, she was worried about the consequences
that would be caused by her surgery. The intervention used dhikr therapy to
reduce anxiety. The results of the implementation showed that after five
consecutive days of implementation, the client's anxiety nursing problems were
resolved by administering dhikr therapy. The researcher concluded that the
surgical action plan was resolved related to anxiety nursing problems based on
objective and subjective data from Mrs. R. It is hoped that this case study will
provide an overview and be a reference for the implementation of dhikr therapy to
overcome anxiety.
KARYA ILMIAH AKHIR NERS PENERAPAN TEKNIK SLOW DEEP BREATHING PADA PASIEN HIPERTENSI DENGAN MASALAH KEPERAWATAN NYERI AKUT(STUDI KASUS DI RSU MUHAMMADIYAH PONOROGO
Get PDFTeknik Slow Deep Breathing (SDB) Teknik pernapasan dalam yang dilakukan secara perlahan dan terkendali telah diakui sebagai pendekatan alternatif tanpa penggunaan obat yang memiliki efektivitas tinggi dalam meredakan sensasi nyeri intens serta membantu menstabilkan tingkat tekanan darah dengan cara mempengaruhi keseimbangan kerja sistem saraf yang mengatur respons tubuh secara otomatis. Kajian ini berfokus pada analisis penerapan metode slow deep breathing (SDB) dalam perawatan pasien yang mengalami tekanan darah tinggi serta menghadapi kondisi nyeri akut, dengan studi kasus yang berlangsung di fasilitas layanan kesehatan milik Muhammadiyah di Ponorogo. Melalui penerapan teknik ini, diharapkan terjadi peningkatan dalam manajemen gejala yang dialami pasien, sekaligus memberikan wawasan lebih lanjut terkait manfaat fisiologis dari teknik pernapasan terhadap sistem kardiovaskular dan mekanisme pengendalian nyeri.
Penelitian ini menggunakan desain studi kasus dengan pendekatan proses keperawatan. Subjek penelitian terdiri dari satu pasien yang mengalami hipertensi dan menghadapi masalah keperawatan berupa nyeri akut. Penelitian ini dilaksanakan di RSU Muhammadiyah Ponorogo selama lima hari, mulai tanggal 3 hingga 7 September 2024.
Hasil dari studi kasus yang dilakukan pada pasien hipertensi dengan masalah keperawatan nyeri akut menunjukkan adanya penurunan signifikan pada skala nyeri setelah penerapan teknik slow deep breathing. Selama lima hari, terjadi penurunan dari skala nyeri 7 menjadi skala nyeri 2, menandakan efektivitas teknik pernapasan tersebut dalam mengurangi intensitas nyeri yang dialami pasien.
Berdasarkan hasil penelitian, masalah nyeri akut pada pasien hipertensi berhasil teratasi, dan diharapkan perawat dapat mengimplementasikan serta menganjurkan penggunaan teknik slow deep breathing sebagai salah satu pendekatan dalam menangani pasien hipertensi yang mengalami masalah keperawatan nyeri akut. Teknik ini terbukti efektif dalam mengurangi intensitas nyeri, sehingga dapat menjadi pilihan intervensi yang bermanfaat dalam perawatan pasien hipertensi dengan keluhan serupa
PENERAPAN FOOT MASSAGE DENGAN MINYAK ZAITUN PADA IBU POST OP SC DENGAN MASALAH KEPERAWATAN NYERI AKUT DI RSU MUHAMMADIYAH PONOROGO
Get PDFABSTRACT
APPLICATION OF FOOT MASSAGE WITH OLIVE OIL ON MOTHERS POST OP SC WITH NURSING PROBLEMS OF ACUTE PAIN
(Case Study in Siti Walidah Room, Muhammadiyah Ponorogo Hospital)
By: Zuriska Kumalasari
NIM:23650413
A cesarean section is a surgical procedure to deliver a baby through an incision in the abdominal wall and uterus. Foot massage using olive oil is a non-pharmacological method to reduce postoperative pain. This case study analyzes the effectiveness of this therapy in reducing pain intensity in post-cesarean section mothers with acute pain complaints at Muhammadiyah General Hospital, Ponorogo.
This study uses a descriptive method with a nursing process approach for post-cesarean section patients experiencing acute pain. Nursing care includes assessment, diagnosis, intervention planning, implementation, and evaluation, conducted over five days from November 1 to November 5, 2024. The intervention given was in the form of applying foot massage with olive oil to reduce pain in post-Cesarean section mothers. The application of foot massage lasted for 5 days and was carried out twice a day. From the nursing process, it was found that after foot massage with olive oil for 5 days, the pain felt by the client gradually decreased, this can be seen from subjective data such as the client saying the pain had decreased/improved, pain scale 1.
Nursing care for post-op SC clients with acute pain nursing problems is expected to be a picture for clients with post-op SC so that they can apply foot massage with olive oil independently when the pain arises.
Keywords: Sectio Caesarea, Foot Massage, Olive Oil, Acute Pai
PENGARUH DIGITAL MARKETING, INOVASI DAN KUALITAS PRODUK TERHADAP KEUNGGULAN BERSAING HOME INDUSTRI MANCO DI KEBONSARI MADIUN
Get PDFIn today's era, home industries continue to experience increasingly intense growth. This also encourages increased competition between home industry players.
This competitive condition requires every business actor to strengthen the foundation of their business and be responsive to various challenges and increasingly complex competition in order to be able to compete with other businesses in this industry. This study uses a quantitative method. The purpose of this study is to
find out and analyze the influence of digital marketing, innovation and product quality on the competitive advantage of the Manco home industry in Kebonsari Madiun. The population in this study were Manco home industry business actors in Kebonsari Madiun with a sample of 30 respondents taken using saturated sampling techniques. Data collection using primary data obtained from the results of distributing questionnaires, and
analyzed using multiple linear regression analysis, coefficient of determination (R2) analysis and hypothesis testing using the T test (partial) and
F test (simultaneous). The results of partial research on digital marketing, innovation and product quality have a significant influence on the competitive advantage of Manco's home industry in Kebonsari Madiun. Simultaneously, digital marketing, innovation and product quality together have a significant influence on the competitive advantage of Manco's home industry in Kebonsari Madiun.
Keywords: Digital Marketing, Innovation, Product Quality, Competitive Advantag
MENGELOLA RISIKO:LINGKUNGAN KESEHATAN PUBLIK DI TENGAH BENCANA DAN URBANISASI
Get PDFDalam era urbanisasi yang pesat, lingkungan kesehatan masyarakat menghadapi berbagai risiko yang memerlukan perhatian serius. Dari peningkatan polusi udara, keterbatasan akses terhadap air bersih, hingga dampak perubahan iklim yang memperparah kejadian bencana, semua faktor ini mempengaruhi kualitas hidup masyarakat secara langsung. oleh karena itu, pengelolaan risiko menjadi aspek krusial dalam memastikan ketahanan sistem kesehatan publik