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PENERAPAN PEMBERIAN MINUMAN JAHE KOMBINASI MADU UNTUK MENURUNKAN FREKUENSI BATUK PADA ANAK ISPA DENGAN MASALAH KEPERAWATAN BERSIHAN JALAN NAFAS TIDAK EFEKTIF (Di Ruang AR Fahrudin RSU Muhammadiyah Ponorogo)
Infeksi Saluran Pernafasan Akut (ISPA) merupakan permasalahan kesehatan global, sebab terjadi 2 juta kematian setiap tahunnya. Penyakit ISPA merupakan penyakit menular yang masih berdampak besar pada individu dan merupakan masalah kesehatan di Indonesia. Tujuan penyusunan karya tulis ilmiah ini yaitu untuk mengetahui penerapan pemberian minuman jahe kombinasi madu untuk menurunkan frekuensi batuk pada anak ISPA dengan masalah keperawatan bersihan jalan nafas tidak efektif.
Metode yang digunakan yaitu dengan pendekatan proses asuhan keperawatan dengan intervensi yang dilakukan untuk mengatasi masalah tersebut menggunakan pendekatan terapeutik dan pemberian minuman jahe kombinasi madu. Hasil pengkajian keluarga pasien mengatakan anak batuk berdahak, frekuensi batuk mencapai 35x/hari, sputum berlebih, batuk tidak efektif, serta terdapat suara tambahan ronchi.
Hasil dari implementasi yang telah dilakukan pada An. S menunjukkan dapat mencapai kriteria hasil seperti : batuk efektif meningkat, produksi sputum menurun, ronchi menurun, frekuensi batuk menurun 8-10x/hari, sehingga setelah dilakukan implementasi 5 hari didapatkan perkembangan An. S dengan masalah keperawatan bersihan jalan nafas tidak efektif telah teratasi. Penerapan pemberian minuman jahe kombinasi madu diharapkan dapat menjadi referensi bagi perawat dalam penanganan pasien Penyakit ISPA.
Kata kunci : Jahe, Madu, ISPA, Bersihan jalan nafas tidak efektif
IMPLEMENTASI HIDDEN CURRICULUM DALAM RANGKA PEMBENTUKAN KARAKTER RELIGIUS DI MADRASAH ALIYAH NEGERI 1 PONOROGO
Education serves as a medium for developing individuals' potential and shaping their character holistically. The current formal curriculum places more emphasis on cognitive aspects, so it needs to be supplemented with a hidden curriculum that focuses on character development thru non-academic experiences in the school environment. The active role of the principal, teachers, and parents is very important in optimizing the formation of students' character thru a hidden curriculum that includes values, norms, and the cultivation of good ethics.
This study aims to examine the implementation of the hidden curriculum in shaping religious character at Madrasah Aliyah Negeri (MAN) 1 Ponorogo. The research focus includes: (1) Implementation of the hidden curriculum, (2) the achievements resulting from the implementation of the hidden curriculum, and (3) supporting and hindering factors in the implementation of the hidden curriculum.
This research uses a descriptive qualitative approach, with data collection techniques including observation, in-depth interviews, and documentation. Data analysis techniques include data reduction, data presentation, and drawing conclusions. Data validity checks are performed by extending observations, increasing diligence, and triangulation.
The research findings indicate that: (1) The hidden curriculum at MAN 1 Ponorogo in shaping religious character is implemented thru habituation activities, such as morning prayers before starting lessons, congregational Zuhur prayers, Quran recitation, teacher role modeling, the culture of shaking hands when arriving at the madrasah, and the management of a religious and conducive learning environment. (2) The hidden curriculum significantly contributes to shaping religious values in students, such as honesty, responsibility, discipline, and respect for others. (3) Supporting factors for implementing the hidden curriculum include the commitment of the madrasah principal, the active role of teachers, and the religious culture that is already deeply rooted in the madrasah environment. The main obstacles are the lack of awareness among students due to their diverse backgrounds, and the absence of formal assessment in their report cards
ASUHAN KEPERAWATAN KELUARGA PADA ANAK STUNTING DENGAN MASALAH KEPERAWATA MANAJEMEN KESEHATAN KELUARGA TIDAK EFEKTIF
ABSTRACT
"FAMILY NURSING CARE FOR A STUNTED CHILD WITH THE NURSING DIAGNOSIS OF INEFFECTIVE FAMILY HEALTH MANAGEMENT"
"(Case Study at Bungkal Health Center Ponorogo District)"
By:
Rizal Ari Prasetyo
NIM. 22613538
Stunting is a chronic nutritional problem that affects children's physical growth and cognitive development. In the working area of Bungkal Health Center, stunting cases increased by 7.92% within six months, indicating the need for family-based interventions to manage child health effectively.
Methods: This study employed a case study approach to family nursing care for a stunted child with ineffective family health management. The nursing process was carried out through assessment, diagnosis, planning, implementation, and evaluation. Data were collected through interviews, observations, and physical examinations.
The family was found to have limited understanding of the child’s health condition and faced difficulties in managing care. The main nursing diagnosis was ineffective family health management. Interventions included educational, therapeutic, and emotional support approaches. The results showed improvements in family understanding of the child’s condition, increased involvement in care, and appropriate use of healthcare services.
Nursing interventions focusing on family empowerment proved effective in improving family health management. The success of the intervention was influenced by appropriate education, effective communication, and collaboration between nurses and the family. This study highlights the essential role of nurses in providing holistic care by treating the family as the primary unit of care in stunting cases.
Keywords: Stunting, Family nursing, Family health management, Nursing care, Chil
HUBUNGAN WAKTU TUNGGU PELAYANAN DENGAN TINGKAT KEPUASAN PASIEN DI POLI DALAM RUMAH SAKIT ISLAM SITI AISYAH MADIUN
ABSTRACT
RELATIONSHIP BETWEEN SERVICE WAITING TIME AND PATIENT SATISFACTION LEVEL IN THE INTERNAL POLYCLINIC OF ISLAMIC SITI AISYAH HOSPITAL, MADIUN
Service waiting time is an important factor that influences patient satisfaction level in outpatient health services. Patient satisfaction is the main indicator in assessing the quality of health services in hospitals. This study aimed to determine the relationship between service waiting time and patient satisfaction level in the Internal Medicine Polyclinic of RSI Siti Aisyah Madiun. This study used a quantitative design with a cross-sectional approach involving 68 Internal Medicine patients of RSI Siti Aisyah Madiun. Data were collected through a questionnaire that measured service waiting time and patient satisfaction level. Statistical analysis used the Spearman Rank correlation test to determine the relationship between waiting time and patient satisfaction. Most patients (82.4%) felt that the service waiting time was not long, and 76.5% of patients stated a high level of satisfaction. Spearman Rank analysis showed a significant and strong relationship between service waiting time and patient satisfaction level (p = 0.000; r = 0.687). Patients who experienced long waiting times tended to have low to moderate levels of satisfaction, while patients with short waiting times were mostly very satisfied. The results of the study stated that service waiting time plays an important role in determining patient satisfaction. Reducing waiting time can increase patient satisfaction with health services at the Internal Medicine Polyclinic of RSI Siti Aisyah Madiun. Therefore, hospital management is advised to optimize the service process so that waiting time can be minimized in order to improve service quality and patient satisfaction.
Keywords: Internal Medicine Polyclinic, Patient satisfaction, Service waiting tim
PENERAPAN TERAPI HIPNOSIS LIMA JARI UNTUK MENURUNKAN CEMAS PADA PASIEN HIPERTENSI DENGAN MASALAH KEPERAWATAN ANSIETAS
Hipertensi menjadi salah satu penyakit yang berbahaya karena merupakan faktor risiko utama yang mengarah kepada kariovaskuler seperti seragan jantung, penyakit jantung istemik dan stroke menjadi dua penyebab kematian utama di dunia. Studi kasus ini bertujuan untuk melakukan asuhan keperawatan pada pasien Hipertensi dengan masalah keperawatan ansietas.
Asuhan keperawatan dilakukan di RSU Muhammadiyah Ponorogo Ruang Darwis, selama 5 hari pada tanggal 27–31 Agustus 2025. Metode yang digunakan dalam pengumpulan data dan pelaksanaan asuhan adalah pendekatan proses keperawatan. Asuhan ini diberikan kepada responden dengan hipertensi.
Hasil pengkajian didapatkan bahwa klien mengalami keluhan pusing pada kepala, sesak,merasa cemas akan kondisi yang dialaminya, tremor, muka tampak pucat, sulit tidur dan didapatkan tekanan darah yaitu 204/ 102 mmHg dengan diagnosis keperawatan Ansietas. Tindakan keperawatan untuk mengatasi masalah keperawatan ini menggunakan terapi nonfarmakologis terapi hipnosis lima jari. Setelah dilakukan terapi hipnosis lima jari selama 5 hari didapatkan hasil tingkat kecemasan pasien menurun dan berdasarkan kuesioner tingkat kecemasan dengan Hamilton Anxiety Rating Scale di dapatkan hasil 17 dengan kategori tingkat kecemasan ringan.
Asuhan keperawatan pada klien hipertensi dengan ansietas diharapkan dapat menjadi gambaran bagi penderita hipertensi untuk mencegah dan mengobati penyakit hipertensi dengan menerapkan terapi hipnosis lima jari secara mandiri ketika keluhan terjadi.
Kata Kunci : Hipertensi, Ansietas, Terapi Hipnosis Lima Jar
ASUHAN KEPERAWATAN JIWA PADA PASIEN SKIZOFRENIA DENGAN MASALAH KEPERAWATAN HARGA DIRI RENDAH KRONIS
ABSTRAK
ASUHAN KEPERAWATAN JIWA PADA PASIEN SKIZOFRENIA DENGAN MASALAH KEPERAWATAN HARGA DIRI RENDAH KRONIS
(Studi Kasus DI RSJD Dr. Arif Zainuddin Surakarta)
Oleh :
Famara Anbar Firdavarista
22613514
Sebagai gangguan jiwa kronis, skizofrenia kerap menimbulkan masalah Harga Diri Rendah yang berlangsung lama pada pasien. HDR kronis sangat mempengaruhi kualitas hidup, kepatuhan pengobatan, dan fungsi sosial pasien. Studi kasus ini dirancang untuk mengkaji secara mendalam asuhan keperawatan jiwa terpadu yang diberikan kepada pasIien Skizofrennia dengan masalah harga drri rendh kronis unttuk mengoptimalkan pemulihan dan fungsi adaptif pada klien.
Metode penyusunan karya ilmiah ini menggunakan desain studi kasus dan menggunakan proses keperawatan sebagai pendekatannya, meliputi: mencakup proses mulai dari pengkajian, perumusan diagnosis keperawatan, perencanaan intervensi, pelaksanaan tindakan keperawatan, hingga tahap evaluasi Subjek kelolaan adalah Tn. P pada tanggal 6-9 Februari 2025 dengan permasalahan utama berupa harga diri rendah kronis sebagai fokus keperawatan. Intervensi yang diberikan berupa promosi harga diri. Asuhan keperawatan ini dilaksanakan di RSJD Dr. Arif Zainuddin.
Hasil pengkajian di dapati klien didiagnosis Skizofrenia dengan masalah keperawatan harga diri rendah kronis, ditandai perilaku menarik diri seperti diam, melamun, bicara lirih, menundukkan pandangan, dan menghindari kontak mata. Implementasi keperawatan berfokus pada promosi harga diri yang dirangkum dalam empat pertemuan, mencakup identifikasi pemicu, diskusi positif, eksplorasi kritik diri, dan latihan kontak mata. Hasil evaluasi menunjukkan masalah harga diri rendah kronis teratasi, hal ini terbukti dari klien yang mampu berkontak mata, tidak menundukkan pandangan ketika berbicara, dan mampu berpikir serta berperilaku positif.
Kata kunci : Skizofrenia, Harga Diri Rendah Kronis
ABSTRACT
PSYCHIATRIC NURSING CARE IN SCHIZOPHRENIC PATIENTS WITH CHRONIC LOW SELF-ESTEEM NURSING PROBLEMS
(Case Study at RSJD Dr. Arif Zainuddin Surakarta)
By:
Famara Anbar Firdavarista
22613514
As a chronic mental disorder, schizophrenia often causes long-term low self-esteem in patients. Chronic low self-esteem significantly impacts patients' quality of life, treatment adherence, and social functioning. This case study is designed to examine in-depth integrated psychiatric nurssing care provided to a schizophreniic patient witth chronic low self-estem to optimize recovery and adaptive functioning.
This scientific paper was developed using a case study design, employing the nursing process as its main approach. The stages include assessment, formulation of nursing diagnoses, planning of interventions, implementation of nursing actions, and the evaluation phase.The subject under management was Mr. P on February 6-9, 2025 with the main problem being chronic low self-esteem as the focus of nursing. The intervention provided was in the form of self-esteem promotion. This nursing care was carried out at Dr. Arif Zainuddin Mental Hospital.
The assessment results found that the client was diagnosed with schizophrenia with chronic low self-esteem nursing problems, characterized by withdrawn behavior such as silence, daydreaming, speaking softly, lowering the gaze, and avoiding eye contact. The nursing implementation focused on promoting self-esteem, summarized in four meetings, including trigger identification, positive discussions, self-criticism exploration, and eye contact exercises. The evaluation results showed that the chronic low self-esteem problem was resolved, as evidenced by the client's ability to make eye contact, not lower the gaze when speaking, and the ability to think and behave positively.
Keywords : Schizoprhrenia, Chronic Low Self-Estee
SISTEM DETEKSI PENYAKIT DAUN BAWANG PREI MENGGUNAKAN CNN (CONVULATIONAL NEURAL NETWORK) ARSITEKTUR VGG-19
Indonesia, as an agrarian country, relies heavily on the agricultural sector as a primary pillar of its economy. In mountainous regions, leek (Allium ampeloprasum) cultivation serves as one of the main sources of income for local communities. However, farmers in Pudak Wetan Village face challenges from plant diseases such as Fusarium wilt and purple spot, which are difficult to identify in the early stages. The disease detection process, which is still carried out manually, has proven to be less accurate, time-consuming, and prone to errors, potentially leading to reduced yields and economic losses. To address these challenges, this study was conducted to develop a system capable of automatically detecting diseases in leek plants by employing the Convolutional Neural Network (CNN) method using the VGG-19 architecture. This architecture, with its deep and stable network, is effective for image recognition tasks. CNN enables the extraction of essential features from leaf images and classifies disease types such as Fusarium wilt and purple spot, providing outputs in the form of accuracy metrics, treatment recommendations, and disease distribution graphs. The system is designed as a web-based application, allowing users to upload leaf images and receive classification results along with supporting visualizations. Image augmentation techniques were also applied to enhance the model’s generalization ability and prevent overfitting. Evaluation results demonstrated that the model achieved an F1-score of 1.00 for Fusarium wilt, 1.00 for purple spot, and 1.00 for healthy leaves. Furthermore, both macro average and weighted average scores also reached 1.00, indicating highly accurate and consistent detection performance. The outcome of this research is a system that can be used for early disease detection and assist farmers in improving both the quality and quantity of agricultural production
PENGARUH KEGIATAN AMALIYYATU-T-TADRIS TERHADAP PROFESIONALITAS CALON GURU PADA SISWI KELAS AKHIR KULLIYYATUL MU'ALLIMAT AL-ISLAMIYAH DI PONDOK MODERN ARRISALAH SLAHUNG-PONOROGO
Purpose: Amaliyyatu-T-Tadris activity is a mandatory activity for the final class of Kulliyyatul Mu'allimin wal Mu'allimaat Al-Islamiyah as a foundation for teaching later and also as one of the graduation requirements. With this activity, the final class will dare to appear to show their skills in teaching. Arrisalah Modern Islamic Boarding School takes the path of amaliyatu-t-tadris or teaching practice on a small scale such as in class to produce professional teachers or instructors who are very ideal, ideal in thinking, acting, and moving. Because this is a series of starting points taken before becoming a professional teacher. All teachers at the Islamic Boarding School come from students and all have gone through this sacred activity.
Study design/methodology/approach: This study used a quantitative research method with simple linear regression analysis techniques, with a population of 277 and a sample of 46 female students. The questionnaires were distributed to respondents and then processed using SPSS.
Findings: The study explains that there is a significant influence between these activities on the professionalism of prospective teachers in the final class of KMI. The findings in the field of a series of amaliyatut-t-tadris activities can educate prospective teachers to train themselves to become professional teachers by carrying out responsibilities as well as possible. Another thing, states that to produce professional teachers is not only amaliyatut-t-tadris activities but also other factors such as teaching afternoon lessons and others. Amaliyatut-t-tadris activities are one of the activities that serve as training for prospective professional teachers. The better the amaliyatut-t-tadris, the better the professional attitude of prospective teachers
PENGARUH PERAWATAN TALI PUSAT TERBUKA TERHADAP LAMA PELEPASAN TALI PUSAT PADA BAYI BARU LAHIR DI RUANG PERINATOLOGI RSU MUHAMMADIYAH PONOROGO
ABSTRACT
THE EFFECT OF OPEN UMBILICAL CORD CARE ON THE DURATION OF ULMATIC CORD REMOVAL IN NEWBORN BABIES
IN THE PERINATOLOGY ROOM
MUHAMMADIYAH PONOROGO HOSPITAL
Yulianasari
Faculty of Health Sciences Muhammadiyah University of Ponorogo
Newborn care is crucial for maintaining the baby's health. Newborns require care to increase their chances of a successful transition, including umbilical cord care. The WHO recommends using dry or open cord care for safer cord care and to prevent cord infection. The purpose of this study was to determine the effect of open cord care on the duration of cord separation in newborns in the perinatology ward of Muhammadiyah Ponorogo General Hospital.
This study used a quasi-experimental design with a post-test-only non-equivalent control group. The study was conducted in the perinatology ward. The population and sample were 46 newborns who met the criteria: 23 in the intervention group and 23 in the control group. The sampling technique used was purposive sampling. Observation was used as the instrument, and analysis was carried out using the Man-Whitney test.
The results of the study on the effect of open umbilical cord care on the duration of umbilical cord release in newborns in the perinatology room of Muhammadiyah Ponorogo Hospital showed that open care (intervention group) had an average duration of umbilical cord release of 5.74 days in the fast category (≤7 days), while closed care (control group) had an average duration of umbilical cord release of 7.65 days in the slow category (>7 days). Data analysis using the Man Whitney test obtained a p value = 0.000 which means p value <α = 0.05 meaning Ha is accepted, it can be concluded that there is an effect of open umbilical cord care on the duration of umbilical cord release in newborns in the perinatology room of Muhammadiyah Ponorogo Hospital.
Keywords: Open Care, Newborn, Length of Stay Umbilical Cor
IMPLEMENTASI ALGORITMA APRIORI UNTUK MENENTUKAN POLA PERSEDIAAN BARANG PADA TOKO KELONTONG BERBASIS WEB
Inventory management is a crucial factor in the sustainability of a grocery store, preventing the risk of understocking or overstocking. This research aims to design and implement a web-based system that applies the Apriori algorithm to determine inventory patterns based on previous sales transaction data. The case study was conducted at Kartika Trunojoyo Grocery Store using a data mining approach involving support, confidence, and lift calculations to identify association rules between products. The analysis yielded six association rules with positive correlations. The strongest relationship was found between Cooking Oil ⇒ Cigarettes with a confidence value of 44.23% and a lift of 1.59, and the reverse relationship between Cigarettes ⇒ Cooking Oil with a confidence value of 39.66% and the same lift. The developed system is capable of providing recommendations for items to prioritize in inventory, thus assisting store owners in making procurement decisions. Testing using the Black Box method showed that all system functions functioned as designed. This research proves that the web-based Apriori algorithm can be an effective solution to support efficient inventory management in grocery stores