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    ASUHAN KEPERAWATAN LANSIA DENGAN NUTRISI DAN CAIRAN DENGAN MASALAH KEPERAWATAN RESIKO KETIDAKSTABILAN KADAR GLUKOSA DARAH HIPERGLIKEMA

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    Blood glucose level instability (hyperglycemia) in the elderly is a serious health problem that may lead to complications if not properly managed. Aging often causes imbalances in nutrition and fluid regulation, making older adults more vulnerable to blood glucose fluctuations. Proper management requires comprehensive nursing care, including glucose monitoring, dietary education, and collaborative therapy interventions. This case study aims to describe the implementation of nursing care for elderly individuals with nutritional and fluid imbalances who are at risk of blood glucose instability. The nursing care was conducted at UPT PSTW Magetan over three days in May 2024, using the nursing process approach, which includes assessment, diagnosis, planning, implementation, and evaluation. Assessment results showed uncontrolled blood glucose levels (random blood glucose: 350 mg/dL), decreased appetite, and a lack of knowledge regarding diabetes management. Nursing interventions included low-sugar diet education, routine glucose monitoring, and collaboration in insulin administration. Evaluation showed improvement in the patient’s knowledge, dietary habits, and more stable blood glucose levels. This nursing care process is expected to serve as a reference for providing optimal nursing services for elderly patients with similar conditions

    Pengaruh Edukasi Simulasi Pertolongan Pertama Sinkop Terhadap Tingkat Keterampilan Anggota Palang Merah Remaja (PMR) Di SMPN 1 Babadan

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    Syncope, or fainting, is a temporary loss of consciousness that commonly occurs in school settings, including during ceremonies or sports activities. Lack of first aid knowledge and skills can increase the risk of complications. Education using simulation methods is an effective approach to improving students' skills in responding to syncope. This study aims to determine the effect of syncope first aid simulation education on the skill level of Youth Red Cross (PMR) members at SMPN 1 Babadan. This study used a pre-experimental design with a one-group pretest-posttest design. The sample consisted of 71 student members of the Indonesian Red Cross (Red Cross Rehabilitation Center) selected using a purposive sampling technique. The intervention consisted of a syncope first aid simulation education, while data were collected using observation sheets based on the syncope first aid standard operating procedures (SOP). Data analysis was performed using the Wilcoxon test. There was a significant improvement in the skills of Red Cross Rehabilitation Center members after the simulation education. The Wilcoxon test showed a p-value <0.05, indicating a significant effect between simulation education and improved skills in administering first aid in syncope cases. Simulation education effectively improved syncope first aid skills among Red Cross Rehabilitation Center members. Keywords: Education, Simulation, Syncope, Skills, PM

    HUBUNGAN KUALITAS TIDUR DENGAN KEJADIAN HIPERTENSI PADA PEDAGANG PASAR LEGI DI KABUPATEN PONOROGO

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    ABSTRACT THE RELATIONSHIP BETWEEN SLEEP QUALITY AND THE INCIDENCE OF HYPERTENSION AMONG VENDORS AT PASAR LEGI IN PONOROGO REGENCY By: Intan Nurbaiti Hypertension is a common health problem and a major risk factor for cardiovascular disease. One factor that can influence hypertension is sleep quality. Market vendors are at risk of experiencing sleep disturbances due to irregular working hours, heavy physical workload, and noisy work environments. This study aimed to determine the relationship between sleep quality and the incidence of hypertension among vendors at Pasar Legi in Ponorogo Regency. This research employed a quantitative correlational design with a cross-sectional approach. A total of 75 vendors were selected using purposive sampling. The instruments used were the Pittsburgh Sleep Quality Index (PSQI) questionnaire and a blood pressure measuring device. Data were analyzed using the Fisher-Exact test with a significance level of α = 0.05. The results showed that 45 respondents (60%) had poor sleep quality, and 67 respondents (89.3%) had hypertension. The Fisher-Exact test revealed a p-value of 0.000 (< 0.05), indicating a significant relationship between sleep quality and the incidence of hypertension. Interestingly, 15 respondents (20.5%) with hypertension had good sleep quality. This condition is likely caused by genetic factors, high sodium intake, excessive caffeine or alcohol consumption, psychological stress, lack of physical activity, and aging, all of which can trigger hypertension despite good sleep quality. These findings emphasize the need for promotive and preventive interventions that not only focus on improving sleep quality but also address other risk factors to reduce the incidence of hypertension among market vendors. Keywords: Sleep Quality, Hypertension, Market Vendor

    NILAI-NILAI PENDIDIKAN ISLAM DALAM AL-QUR’AN SURAH LUQMAN AYAT 12-19 DAN RELEVANSINYA DENGAN PENDIDIKAN KARAKTER DI INDONESIA (KAJIAN TAFSIR AL-MARAGHI DAN TAFSIR AL-MISHBAH)

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    Ahmad Mustofa Al-Maraghi and M. Quraish Shihab are exegetes born and raised in different eras and environments, which influenced their differing interpretations. The comparison of their interpretations is intriguing, especially in how each respond to the matter of children's character education. This research aims to reveal the Islamic educational values contained in Surah Luqman verses 12–19 as analyzed through Tafsir Al-Maraghi and Al-Mishbah, their relevance to character education in Indonesia, and to compare the educational values found in these verses through the two interpretations. This study uses a qualitative approach with a library research method. The primary sources are Tafsir Al-Maraghi and Tafsir Al-Mishbah. The data is analyzed descriptively and qualitatively. The results of this study are: 1) The Islamic educational values found in Surah Luqman verses 12–19 include three aspects: faith (aqidah), religious practice (sharia), and ethics (akhlaq); 2) The relevance of these Islamic values to character education in Indonesia includes: a) The value of gratitude taught in Surah Luqman is very relevant for instilling appreciation of effort and hard work, as well as fostering a grateful attitude for achievements; b) The emphasis on steadfastness in worship, as taught by Luqman to his son, can be applied to character education by stressing the importance of spirituality and faith; c) Noble ethical values in the surah are highly relevant to character education in Indonesia. 3) Similarities in educational values in the two interpretations include: a) Both emphasize the importance of noble character in daily life; b) Both agree on the centrality of monotheism (tauhid) as the foundation of Islamic education; c) Both highlight the importance of good social relationships. Differences include: a) In ethics, Al-Maraghi tends to be more descriptive, while Al-Mishbah is more practical and gives concrete examples; b) Regarding tauhid, Al-Maraghi focuses more on the theological aspect, whereas Al-Mishbah emphasizes practical application; c) In social matters, Al-Maraghi views them from the perspective of duty and ethics, while Al-Mishbah stresses justice and social concern

    ASUHAN KEPERAWATAN LANSIA YANG MENGALAMI GANGGUAN POLA ELIMINASI DENGAN MASALAH KEPERAWATAN INKOTINENSIA URIN STRESS

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    ABSTRAC NURSING CARE FOR ELDERLY PEOPLE WITH DISORDERS OF ELIMINATION PATTERNS WITH NURSING PROBLEMS OF STRESS URINARY INCONTINENCE (At UPT Sosial Pelayanan Tresna Werdha Kabupaten Magetan) By Avrin Vriesca Shelly Hazyzya 22613588 Elderly people are a vulnerable group who often experience physiological changes, including in the urinary system. One of the problems that is often encountered is stress urinary incontinence, which is the involuntary release of urine when there is an increase in intra-abdominal pressure, for example when coughing, laughing, or sneezing. This condition can reduce the quality of life of the elderly, affect self-esteem, and increase the risk of skin problems due to excess moisture. This study aims to provide a comprehensive overview of nursing care for the elderly with urinary elimination disorders in the form of stress urinary incontinence, including assessment, nursing diagnosis, intervention, implementation, and evaluation. The case study method is used to describe the implementation of nursing care according to nursing process standards. From the results of the assessment, it was found that Mrs. S said that when standing or coughing, she often urinated and it was uncontrolled. When doing activities outside the beneficiary's dormitory, she often used diapers because she was afraid of wetting herself. She often urinated at night. The nursing diagnosis that emerged in Mrs. S was stress urinary incontinence related to increased intra-abdominal pressure characterized by abdominal distension and uncontrolled urination when coughing or standing. The nursing actions given for the problem of stress urinary incontinence in Mrs. S were pelvic floor muscle training (Kegel exercises), elimination management education, and providing psychosocial support. After nursing actions were carried out for 4 days, the evaluation results were that her urination had started to improve unlike before, she did not urinate often at night, incomplete urination had improved, urine was still dripping when she had finished urinating, and abdominal distension had improved. So it is hoped that nursing care for the elderly who experience stress urinary incontinence given in the form of pelvic muscle training and education can help overcome the problems of the elderly who experience stress urinary incontinence. Keywords: elderly, elimination disorders, stress urinary incontinenc

    Pengaruh Senam Lansia terhadap Tingkat Nyeri pada Lansia dengan Osteoarthritis di Puskesmas Plaosan

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    Osteoarthritis yang tidak diberikan penanganan dengan baik dapat mengakibatkan nyeri, kekakuan, dan pergerakan terbatas. Nyeri sendi osteoartritis pada lansia masih sering dianggap biasa padahal jika tidak memperoleh penanganan dengan segera dapat menghambat lansia dalam beraktivitas dan mengganggu kualitas hidup lansia. Tujuan penelitian ini yaitu untuk mengetahui pengaruh senam lansia terhadap tingkat nyeri lansia dengan osteoarthritis di Puskesmas Plaosan. Metode yang digunakan dalam penelitian ini yaitu pra experiment dengan desain one group pre-posttest design dengan sampel sejumlah 31 lansia dengan osteoarthritis yang mengalami nyeri yang melakukan pemeriksaan di Puskesmas Plaosan pada Bulan Januari 2025. Pengumpulan data dilakukan dengan pemeriksaan skala nyeri sebelum dan sesudah pemberian intervensi dengan pemberian intervensi senam lansia yang dilaksanakan sebanyak 3 kali seminggu dengan duras 30 menit. Analisis data menggunakan wilcoxon signed rank test. Hasil penelitian menunjukkan bahwa sebelum diberikan intervensi senam lansia, skala nyeri yang dialami oleh lansia dengan Osteoarthritis sebagian besar berada pada skala sedang sejumlah 23 lansia (74,2%) sedangkan setelah diberikan intervensi senam lansia, skala nyeri yang dialami oleh lansia dengan Osteoarthritis sebagian besar berada pada skala ringan sejumlah 20 lansia (64,5%). Berdasarkan hasil dari perhitungan Wilcoxon Signed Rank Test, diperoleh Zvalue sebesar -5,112 dengan p value (Asymp. Sig 2 tailed) sebesar 0,000 <0,05 sehingga H1 diterima, yang berarti senam lansia berpengaruh terhadap penurunan tingkat nyeri lansia dengan osteoarthritis di Puskesmas Plaosan. Pemberian terapi nonfarmakologis dimaksudkan untuk mendukung pengobatan secara farmakologis agar lansia dapat mencapai status kesehatan yang optimal dan agar lansia mampu melakukan intervensi tersebut secara mandiri di rumah secara rutin diluar jadwal dari posyandu lansia

    HUBUNGAN SPIRITUALITAS DENGAN DEPRESI PADA LANSIA YANG TINGGAL DENGAN KELUARGA DI DUSUN SAYUTAN KABUPATEN MAGETAN

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    THE RELATIONSHIP BETWEEN SPIRITUALITY AND DEPRESSION IN ELDERLY PEOPLE LIVING WITH FAMILY IN SAYUTAN HALL, MAGETAN REGENCY Elysa Undergraduate Nursing Study Program, Faculty of Health Sciences, Muhammadiyah University of Ponorogo Email: [email protected] Spirituality is a belief in an individual's relationship with the Almighty and the Creator, factors that influence a person's spirituality are age, family, and psychological. Depression is a disturbance in emotional conditions of sadness, feeling unhappy, losing enthusiasm, feeling worthless. Elderly is the final stage of development in every human life and changes that occur in the elderly are physical, cognitive, mental, spiritual changes. The purpose of this study is to determine the relationship between spirituality and depression in the elderly. The method in this study is correlational with the Spearman rank approach. The population in the study were elderly people living in Sayutan hamlet, Magetan district. The number of samples in this study was 66 elderly people with purposive sampling. Data collection used the DSES (Daily Spiritual Experience Scale) and GDS (Geriatric Depression Scale) questionnaires..Data were analyzed using the Spearman rank test. In this study there were 63 elderly (95.5%) with moderate spirituality levels and 56 elderly (84.8%) with low levels of depression, the results of the study showed that spirituality with depression in the elderly in Sayutan hamlet had a significant value, namely (p = 0.000 <0.05) with a correlation (r = 0.559), this shows the relationship between spirituality and depression in the elderly in the strong category. The results of this study are expected that elderly respondents can carry out spirituality well to reduce the level of depression in the elderly who live with their families. Keywords: Spirituality, Depression, Elderl

    PENERAPAN STRATEGI PEMBELAJARAN STUDI KASUS DALAM MENINGKATKAN PEMAHAMAN TERHADAP MATERI TOLERANSI BERAGAMA PADA KELAS IX C SMP ISLAM ANNUR’AIN KECAMATAN TOILI JAYA KABUPATEN BANGGAI

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    Education is crucial for a nation's progress. Education is inseparable from the learning process. Indonesia is a country with diverse ethnicities, religions, and cultures, so it is essential for every individual to practice tolerance when interacting with others. Implementing tolerance requires a learning process. Using a case study learning strategy is considered effective in this regard. This thesis aims to determine how learning using a case study strategy is implemented in class IX C at SMP Islam Annur'ain Tirtakencana, its results, and the factors influencing the success of learning using this strategy. This research uses a descriptive qualitative method, which is a research method that uses descriptive data processing to interpret the results without any manipulation of variable data. The results of the study indicate that the implementation of the case study learning strategy went quite well. The teacher prepared a lesson plan, delivered the material with real-life examples, and related it to everyday life. The learning process was still dominated by lecture and question-and-answer methods, but student participation tended to be passive. Learning outcomes from the case study strategy showed excellent results in the cognitive and affective domains, but showed adequate results in the psychomotor domain. Factors influencing the successful implementation of the case study strategy include the teacher, students, the learning environment, and the learning media. This study has limitations, namely that it cannot be generalized to all multicultural schools. Therefore, the implementation of the case study learning strategy that the author studied will result in different results when implemented in other schools, depending on the influencing factors

    PENERAPAN PURSED LIP BREATHING PADA PASIEN PENYAKIT PARU OBSTRUKTIF KRONIK (PPOK) DENGAN MASALAH KEPERAWATAN GANGGUAN PERTUKARAN GAS DI RUANG ASOKA RSUD Dr. HARJONO PONOROGO

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    ABSTRACT IMPLEMENTATION OF PURSED LIP BREATHING IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) WITH NURSING PROBLEMS OF GAS EXCHANGE DISORDERS At RSUD Dr. Harjono Ponorogo Inta Dyah Setyowati Faculty of Health Sciences, University of Muhammadiyah Ponorogo Email : [email protected] Chronic Obstructive Pulmonary Disease (COPD) is an irreversible condition characterized by narrowing of the airways, increased airflow obstruction, and loss of lung elasticity. This condition causes air to be trapped and disrupts gas exchange, leading to dyspnea, coughing, increased sputum production, and wheezing. This study aims to provide nursing care for COPD patients with gas exchange disorders. Nursing care was carried out in the Asoka Room of Dr. Harjono Ponorogo Regional Hospital for 5 days, namely July 22-26, 2025. The method used was the nursing process approach. The results of the assessment showed that the client was experiencing complaints of shortness of breath and the results of the Lab examination were obtained. The patient's AGD showed: pH 7.20, PaCO2 46.3 mmHg, HCO3 24 mmol/L, PO2 52.2 mmHg and SaO2 90.7%. Vital signs: BP 138/80 mmHg, Pulse 115 x/minute (tachycardia), RR 26 x/minute, SPO2 94% without nasal cannula and Temperature 36.5˚C. Nursing actions to overcome this nursing problem use non-pharmacological therapy Pursed Lip Breathing. After Pursed Lip Breathing therapy for 5 days, complaints of shortness of breath decreased, Vital signs: BP 130/80 mmHg, Pulse 90 x/minute, RR 20 x/minute, SPO2 98% without nasal cannula and S 36.7˚C. After nursing care was provided to COPD patients using pursed lip breathing therapy, complaints of shortness of breath decreased. This indicates that pursed lip breathing is effective in helping control breathing patterns. Pursed lip breathing can be used as a holistic nursing intervention to support the healing process in patients with COPD. Keywords : Chronic Obstructive Pulmonary Disease, Impaired Gas Exchange, Pursed Lip Breathin

    PENERAPAN AROMATERAPI CHAMOMILE PADA PASIEN POST SECTIO CAESAREA DENGAN MASALAH KEPERAWATAN NYERI AKUT DI RSU MUHAMMADIYAH PONOROGO

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    ABSTRACT APPLICATION OF CHAMOMILE AROMATHERAPY IN POST-CESAREAN SECTION PATIENTS WITH NURSING PROBLEMS ACUTE PAIN AT MUHAMMADIYAH PONOROGO HOSPITAL Wafi Tantika Faculty of Health Sciences, Muhammadiyah University of Ponorogo A cesarean section is a surgical procedure that often causes acute postoperative pain due to incisions in the abdominal wall and uterus. Uncontrolled pain can interfere with maternal mobility, comfort, and self-care. Non-pharmacological approaches such as chamomile aromatherapy are an alternative to reduce pain intensity. This study aims to determine the effectiveness of providing chamomile aromatherapy to post-CS mothers with acute pain nursing problems. This case report uses a nursing process approach for a post-cesarean section patient with acute pain nursing issues at Muhammadiyah Ponorogo General Hospital. Care was provided in the ward for two days, followed by three days of home visits. The intervention included chamomile aromatherapy inhalation for five days, with monitoring for pain reduction using the Numeric Rating Scale (NRS). Results: Before the intervention, the patient experienced moderate to severe acute pain. After consistent chamomile aromatherapy administration, there was a significant reduction in pain. The patient reported feeling more comfortable, relaxed, and able to resume light activities. Conclusion: Chamomile aromatherapy has been proven effective as a non-pharmacological intervention to reduce acute pain in post-cesarean section patients. These results can serve as a reference for nurses in implementing complementary therapies to improve maternal comfort after surgery. Keywords: Post-cesarean Section, Acute Pain, Chamomile Aromatherap

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