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Penerapan Active Cycle Of Breathing Technique Pada Pasien PPOK Dengan Masalah Keperawatan Pola Nafas Tidak Efektif Di Ruang Pandu RSUD dr. Sayidiman Magetan
Penyakit Paru Obstruktif Kronis (PPOK) merupakan sekelompok penyakit yang ditandai dengan gejala pernapasan kronis (dispnea, batuk, produksi sputum, dan/atau eksaserbasi) dan adanya keterbatasan aliran udara karena kelainan saluran napas ataupun alveolar yang disebabkan oleh pajanan signifikan dari partikel atau gas berbahaya. Salah satu tanda gejala pasien PPOK adalah ketidakefektifan pola nafas. Berbagai teknik atau metode terapi yang dapat diterapkan pada keadaan PPOK untuk mengurangi masalah yang ditimbulkan oleh pasien salah satunya penerapan terapi ACBT (Active Cycle Of Breathing Technique). Karya Ilmiah Akhir Ners ini bertujuan untuk menganalisis penerapan Active Cycle Of Breathing Technique pada pasien PPOK dengan masalah keperawatan pola nafas tidak efektif di Ruang Pandu RSUD dr. Sayidiman Magetan.
Penerapan Karya Ilmiah Akhir Ners ini dilakukan pada pasien Tn. Y selama 5 hari dengan memberikan penerapan terapi ACBT (Active Cycle Of Breathing Technique) selama 1 kali sehari dengan durasi 45 menit..
Hasil Penerapan Karya Ilmiah Akhir Ners yang dilakukan pada pasien Tn. Y ini selama 5 hari di dapatkan pola nafas efektif yang signifikan ditandai dengan penurunan Respiratory Rate dan Saturasi Oksigen Tn.Y dalam batas normal.
Kesimpulan dalam Karya Ilmiah Akhir Ners ini terdapat efektifitas penerapan Active Cycle Of Breathing Technique pada pasien PPOK dengan masalah keperawatan pola nafas tidak efektif di Ruang Pandu RSUD dr. Sayidiman Magetan. Karya Ilmiah Akhir Ners ini diharapkan dapat menjadi intervensi non farmakologis untuk meningkatkan status respirasi pada pasien PPOK salah satunya dengan penerapan Active Cycle Of Breathing Technique.
Kata Kunci : PPOK, ACBT, Pola Nafas Tidak Efekti
PENERAPAN RELAKSASI OTOT PROGRESIF PADA PASIEN LOW BACK PAIN DENGAN MASALAH KEPERAWATAN NYERI AKUT DI KLINIK PRATAMA RAWAT INAP MITRA HUSADA MAGETAN
APPLICATION OF PROGRESSIVE MUSCLE RELAXATION IN
LOW BACK PAIN PATIENTS WITH ACUTE PAIN NURSING PROBLEMS
(Case Study in Clinic Mitra Husada Inpatient Primary Care Magetan )
By: DWI ASTUTI
NIM 24650466
Low Back Pain or painful back below can attack anyone only , where low back pain This make somebody difficult For do activity so that it can influence quality life someone . Back pain lower uni need proper handling in order to reduce the pain felt as well as prevent the occurrence severity . Case study This aiming For do care nursing care for patients Low back pain with problem nursing painful I .
Care nursing care for patients Low Back Pain done at the Clinic Mitra Husada Inpatient Primary Care Magetan for 4 days and continued at home for 3 days in October 2024. The method used is with nursing process approach .
Results of the study obtained that patient experience painful back lower because of lift object heavy as well as lack of knowledge patient about Handling moment pain. Nursing actions taken to overcome painful acute experienced patient the is with apply relaxation muscle progressive .
Care nursing care for patients low back pain with complaint painful I expected to be able to become reference nurse in handle patients who experience painful I with action implementation relaxation muscle progressive .
Keywords : Low back pain , relaxation muscle progressive, acute pain
Implementasi Pelayanan Cepat Dengan Elektronik Surat Ijin Praktek Dokter (Pecel SIPDok) Untuk Meningkatkan Derajat Kesehatan Masyarakat di Kota Madiun
Improving-the-quality-of-public-health services requires innovation-that-can overcome-complex
administrative and bureaucratic obstacles. This study discusses the implementation of PecelSIPDok (Fast
Service with Electronic Doctor's License), a digital-based system designed to accelerate the process of
issuing Doctor's Practice License (SIP) in Madiun City. By adopting a Smart City approach, Pecel SIPDok
utilizes information technology to simplify administrative procedures, increase time efficiency, and ensure
the legality of standardized doctor's practices. This study uses qualitative methods with interview,
observation, and documentation techniques to explore the effectiveness of program implementation. The
results show that Pecel SIPDok not only accelerates the issuance of SIP, but also increases the level of
public trust in health services. The main supporting factors are regulatory support and technology
infrastructure, while obstacles include user understanding of new technologies. This study concludes that
the implementation of digital innovations such as Pecel SIPDok contributes significantly to improving
public health and supporting regional development goals
PENERAPAN RELAKSASI AUTOGENIK UNTUK MENGATASI NYERI AKUT PADA PASIEN POST OP ORIF FRAKTUR CRURIS Di Ruang Mas Mansyur RSU Muhammadiyah Ponorogo
ABSTRACT
APPLICATION OF AUTOGENIC RELAXATION TO OVERCOME ACUTE
PAIN IN PATIENTS POST OP ORIF CRUISE FRACTURES
By: AHMAD KHOLISUN NAWA
In the event of a fracture, the tissue around the broken bone will
experience damage to the veins, which will widen, causing inflammation which
causes swelling and ultimately pain. Pain management in Post-Open Reduction
and Internal Fixation (ORIF) surgery with Autogenic relaxation therapy which
starts with yourself in the form of short sentences that can calm the heart by
imagining yourself in a peaceful, calm, and focused state prioritizing controlling
your breath and heart rate. Objective: Able to implement the application of
autogenic relaxation to treat acute pain in post-op patients with cruciate
fractures.
Method: case study of one Post Op Orif Crucial Fracture Patient with
Deep Breathing Relaxation Techniques carried out in 2 sessions, namely in the
morning at 09.00 and in the afternoon at 12.00 each deep breathing exercise
session was carried out 3 times
Results of the assessment: The patient said he still had pain in his right leg
after surgery on day 0. The nursing diagnosis was found to be NY P with acute
pain related to a physical injury agent. Therapeutic planning (Give nonpharmacological
techniques to reduce pain (Deep breathing Autogenic
Relaxation). Evaluation occurs when the pain scale decreases and the final
evaluation is carried out when the patient is controlled in the surgical clinic.
Conclusion: Application of Autogenic Relaxation is effective in
Overcoming Acute Pain in Post-Op Orif Cruris Fracture Patients within 5 days of
Application of Autogenic Relaxation
Keywords: Autogenic Relaxation, Acute Pain, Post-Op Orif Cruris Fracture
Patient
Implementasi Algoritma Kriptografi RSA Pada Sistem Manajemen Data Pelanggan Internet Berbasis Website
Penelitian ini membahas implementasi algoritma RSA 2048-bit pada sistem manajemen data pelanggan ISP berbasis website. Studi dilakukan di ISP “Ardi Hotspot” di Kabupaten Jombang untuk meningkatkan keamanan data pelanggan dari ancaman kebocoran dan akses tidak sah. Sistem dirancang menggunakan framework Next.js dan basis data MongoDB Atlas, serta mengintegrasikan modul enkripsi RSA untuk melindungi data seperti nama, alamat, dan kredensial autentikasi. Hasil pengujian menunjukkan keberhasilan dalam enkripsi dan dekripsi data dengan waktu rata-rata 2–4 detik, serta latensi sistem yang masih dalam batas wajar yakni di bawah 5 detik. Sistem juga mendukung autentikasi pengguna, pengelolaan koneksi Mikrotik, serta pencatatan log aktivitas. Dengan demikian, penerapan RSA terbukti efektif dan layak digunakan untuk memperkuat keamanan data pelanggan di lingkungan ISP skala kecil hingga menengah
Analisis Pengaruh Penanaman Modal Asing, Ekspor, Utang Luar Negeri, dan Inflasi terhadap Cadangan Devisa Indonesia Tahun 2004-2023
Foreign exchange reserves play a crucial role in maintaining macroeconomic stability, particularly in supporting smooth international transactions and sustaining market confidence. The fluctuations in Indonesia's foreign exchange reserves over the past two decades highlight the need to analyze the factors influencing these dynamics. This study aims to examine the effects of Foreign Direct Investment (FDI), Exports, External Debt, and Inflation on Indonesia's Foreign Exchange Reserves from 2004 to 2023. The analytical method used is multiple linear regression with the Ordinary Least Squares (OLS) approach, utilizing EViews software. Comprehensive testing was conducted through classical assumption tests (multicollinearity, heteroscedasticity, autocorrelation, and normality), partial significance test (t-test), simultaneous test (F-test), and the coefficient of determination (R²). The t-test results show that the variables of Exports (Prob. = 0.0151), External Debt (Prob. = 0.0047), and Inflation (Prob. = 0.0399) have a significant effect on Foreign Exchange Reserves, while the FDI variable (Prob. = 0.8710) has no significant effect. The F-test indicates that all independent variables jointly have a significant effect on Foreign Exchange Reserves, with an R-squared value of 0.944, indicating that 94.4% of the variation in foreign exchange reserves can be explained by the four variables
PENERAPAN TERAPI RELAKSASI BENSON PADA PASIEN HIPERTENSI DENGAN MASALAH KEPERAWATAN PENURUNAN CURAH JANTUNG DI RUANG NAKULA RSUD DR. SAYIDIMAN MAGETAN
ABSTRACT
The Relationship Of Nurses' Characteristics With Work Stress
In The Emergency Department at dr. Sayidiman Magetan Hospital
By : Joko Santoso
Hypertension or high blood pressure, is often referred to as "the silent killer" because it often goes without complaints and complications occur. One of the problems that arise in the diagnosis of hypertension is a decrease in cardiac output associated with an increase in afterload, which carries the risk of experiencing inadequate heart pumping to meet the body's metabolic needs. Various techniques or therapeutic methods that can be applied to hypertensive conditions to reduce the problems caused by patients are Benson relaxation therapy. The final scientific work of this nurse is to analyze the application of Benson Relaxation Therapy in Hypertension Patients with Nursing Problems of Decreased Cardiac Output in the Nakula Room at Dr. Hospital. Sayidiman Magetan.
The application of this nurse's scientific work was carried out on the patient Mrs. T for 3 days by giving benson therapy 3 times a day with a duration of 15 minutes.
The results of the application of the nurse's final scientific work carried out on Mrs. T for 3 days it was found that cardiac output increased with Mrs.'s blood pressure. T is within normal limits.
The conclusion in this nurse's final scientific work is that there is the effectiveness of applying Benson relaxation therapy to hypertensive patients with nursing problems of decreased cardiac output in the Nakula Room at Dr. RSUD. Sayidiman Magetan.
Keywords: Benson relaxation, hypertension, decreased cardiac outpu
PLAYFUL LEARNING FOR MIGRANT WORKER CHILDREN IN MALAYSIA TO RAISE INDONESIAN VOCABULARY ARTICLE
Literacy development is an important aspect of education, especially in preparing students to face life's challenges. Most Indonesian immigrant children in Malaysia have limited literacy skills, and many cannot yet use the Indonesian language well because their environment uses the Malay language. This study aims to identify the impact of a game-based learning approach combined with daily life on students' Indonesian language literacy skills at Sanggar Bimbingan Belajar At- Tanzil Pandan Jaya Kuala Lumpur Malaysia. Using qualitative methods, in-depth interviews and observations were conducted with students to obtain a comprehensive view of the implementation of this approach. The research results show that using the Word Warriors game in learning increases student engagement, strengthens their critical thinking skills, helps them better understand literacy concepts, and enhances their Indonesian vocabulary to prepare for their future. Based on these findings, it is recommended that elementary schools integrate game-based approaches in learning to enjoyably maximize students' literacy potential
PENGARUH PENGETAHUAN KEUANGAN DAN KEMAMPUAN FINANSIAL TERHADAP MINAT INVESTASI DI PASAR MODAL DENGAN PERILAKU KEUANGAN SEBAGAI VARIABEL MEDIASI PADA MAHASISWA FAKULTAS EKONOMI UNIVERSITAS MUHAMMADIYAH PONOROGO
Many things are considered when making investments. High returns are found to be the most important variable when investing in stocks and income stability as the most important variable when investing in fixed deposits Even things that are done in other countries do not take into account the experience of investors and their prospects for staying in the stock market, the type of information sought from third parties before making investment decisions. This study has a scope within the Muhammadiyah University of Ponorogo. The type of data used is primary data in the form of questionnaires distributed to Muhammadiyah University of Ponorogo Students. In this study using quantitative research types. The results of this study are known if the financial knowledge variable does not affect the financial behavior variable, then the financial ability variable has a positive and significant effect on the financial behavior variable, then it is known that the role of financial behavior on the financial ability path is as a mediator that mediates fully (full mediation), then it is known that the role of financial behavior on the financial knowledge path is not as a mediator but has a partial effect on investment interest, and the financial behavior variable has a positive and significant effect on investment interest of Students of the Faculty of Economics, Muhammadiyah University of Ponorogo
HUBUNGAN WAKTU TUNGGU RAWAT JALAN DENGAN LOYALITAS PASIEN DI POLI SPESIALIS PENYAKIT DALAM RUMAH SAKIT AMAL SEHAT WONOGIRI
HUBUNGAN WAKTU TUNGGU RAWAT JALAN DENGAN LOYALITAS
PASIEN DI POLI SPESIALIS PENYAKIT DALAM RUMAH SAKIT
AMAL SEHAT WONOGIRI
Oleh: Hari Murtiningsih
Waktu tunggu rawat jalan merupakan salah satu indikator penting dalam
menentukan kualitas pelayanan kesehatan. Loyalitas pasien juga menjadi kunci
keberlanjutan pelayanan di fasilitas kesehatan. Penelitian ini bertujuan untuk
menganalisis hubungan antara waktu tunggu rawat jalan dengan loyalitas pasien
di Poli Spesialis Penyakit Dalam Rumah Sakit Amal Sehat Wonogiri. Desain
penelitian yang digunakan adalah cross-sectional dengan teknik purposive
sampling. Sampel terdiri dari 99 pasien Poli Spesialis Penyakit Dalam yang
dipilih berdasarkan kriteria tertentu. Data dikumpulkan melalui lembar observasi
menggunakan Sistem Informasi Manajemen Rumah Sakit (SIM RS) dan dianalisis
dengan uji statistik Chi-Square. Hasil penelitian menunjukkan bahwa sebagian
besar responden (57,6%) menyatakan waktu tunggu rawat jalan tidak tepat (> 60
menit), sementara 42,4% menyatakan waktu tunggu rawat jalan sudah tepat.
Loyalitas pasien menunjukkan hasil 79,8% sedangkan responden menyatakan
loyal sebanyak 20,2% menyatakan tidak loyal.Analisis statistik menunjukkan
adanya hubungan yang signifikan antara waktu tunggu rawat jalan dan loyalitas
pasien dengan p-value = 0,000 (p-value < 0,05). Kesimpulannya, waktu tunggu
rawat jalan memiliki hubungan dengan loyalitas pasien di Poli Spesialis Penyakit
Dalam Rumah Sakit Amal Sehat Wonogiri. Beberapa factor yang mempengaruhi
waktu tunggu yaitu Dokter tidak disiplin dalam memulai jadwal
praktek,banyaknya pasien yang datang lebih awal dari jam jadwal praktek,rata –
rata pasien dengan BPJS,proses administrasi diloket pendaftaran pasien BPJS
yang lama dan jaringan Internet kurang stabil. Keterbatasan Penelitian hanya
dilakukan di Poli Spesialis Dalam Rumah Sakit Amal Sehat Wonogiri, sehingga
hasilnya mungkin tidak dapat digeneralisasikan ke rumah sakit lain dengan
kondisi yang berbeda,Penelitian ini belum mengkaji faktor spesifik yang
memengaruhi lamanya waktu tunggu, seperti efisiensi sistem administrasi, jumlah
tenaga kesehatan, atau kepatuhan jadwal dokter, yang mungkin memiliki dampak
signifikan terhadap hasil.Dapat disarankan agar rumah sakit mengoptimalkan
pengelolaan waktu tunggu melalui perbaikan alur pelayanan dan kebijakan waktu
tunggu yang lebih efisien, evaluasi implementasi SOP yang ada dan koordinasi
yang baik antara petugas untuk meminimalkan waktu tunggu dan meningkatkan
kualitas pelayanan.
Kata Kunci: Waktu Tunggu Rawat Jalan, Loyalitas Pasien, Poli Spesialis
Penyakit Dala