4 research outputs found
INTERVENSI HEAD ELEVATION 30 DERAJAT PADA PASIEN DENGAN CEREBROVASCULAR ACCIDENT INTRACEREBRAL HEMORRHAGE Di Ruang Pattimura RSUD Kanjuruhan Kab. Malang
No full textBackground: Cerebrovascular Accident Intracerebral Hemorrhage or abbreviated as CVA ICH is a type of hemorrhagic stroke that causes bleeding in the intracerebral area which increases intracranial pressure (ICP) which results in increased brain mass and reduced perfusion function and disruption of blood flow to the brain. One of the interventions that can be carried out is providing a head elevation position of 30° which aims to increase blood supply to the brain so that it can reduce ICP. This Final Scientific Work by Nurses aims to describe the process of providing 30° head elevation intervention to patients with a medical diagnosis of CVA ICH.
Methods: The method used in preparing this Final Scientific Work for Nurses uses the case study research method with a non-probability sampling technique approach, namely purposive sampling. This research follows scientific methods in accordance with the principles of the nursing process including the process of assessment, data analysis, intervention, implementation and evaluation of nursing. The data collection process uses several methods, namely interviews, observation, tests and documentation.
Results: After providing nursing care for 4 days, the author raised the main nursing diagnosis, namely Risk of Ineffective Cerebral Perfusion characterized by head injury. The nursing intervention that have been provided is a head elevation position of 30° with the result that blood pressure decreased, the headache scale decreased and the level of consciousness stabilized
Discussion: The 30° head elevation position intervention makes the heart position lower than the head so that blood circulation from the head becomes easier and can reduce intracranial pressure because the fluid in the head cavity is reduced and blood flow in the brain becomes smooth and brain perfusion will increas
Hubungan Usia, Pendidikan, Pekerjaan, Penyebab Broken Home dan Status Tempat Tinggal dengan Self-Esteem Remaja pada Keluarga Broken Home di Desa Sidorahayu Wagir Malang
No full textABSTRACT Self-esteem is an evaluation from the individuals related to themselves with the positive value or negative value that affected to the thinking process, emotions, values and goals, while a broken home is a family condition that cannot lead to conflict often occurring and resulting in the reality of these facts can have a negative impact on the personality development of adolescents. The purpose of this study was to analyze the relationship between age, education, occupation, causes of broken home and residence status with adolescent self-esteem in broken home families. The design in this study was cross sectional, this research was conducted in the Sidorahayu village Wagir Malang with a sampling technique used purposive sampling with inclusion criteria for adolescents aged 11-19 years with 84 respondents. The self-esteem instrument was using to measurement a Coopersmith Self-Esteem Inventory (CSEI) questionnaire with the 58 questions and bivariate analysis with chi-square. The results of the statistical tests showed that there was a significant relationship between the causes of broken homes and adolescent self-esteem in the broken homes families with p-value = 0.015 (p <0.05). It is hoped that the parents can provide the strong foundation with the love for their children, as well as a good education in order to a good personality and have good resilience. Keywords: Self-Esteem, Youth, Broken home ABSTRAK Self-esteem merupakan evaluasi yang dibuat individu yang berkaitan terhadap dirinya sendiri baik berupa penilaian positif maupun negatif yang berpengaruh dalam proses berfikir, emosi nilai-nilai dan tujuan, sedangkan broken home merupakan suatu kondisi keluarga yang tidak harmonis akibatnya sering terjadi konflik hingga mengakibatkan pertengkaran dan berujung pada perpisahan sehingga realita tersebut dapat memberikan dampak negatif pada perkembangan kepribadian remaja. Tujuan penelitian ini adalah untuk menganalisis hubungan usia, pendidikan, pekerjaan, penyebab broken home dan status tempat tinggal dengan self-esteem remaja pada keluarga broken home. Desain dalam penelitian ini adalah cross sectional, penelitian ini dilakukan di Desa Sidorahayu Wagir Malang dengan teknik pengambilan sampel menggunakan purposive sampling dengan kriteria inklusi remaja usia 11-19 tahun dan didapatkan sejumlah 84 responden. Instrumen pengukuran self-esteem ini menggunakan kuesioner Coopersmith Self-Esteem Inventory (CSEI) yang terdiri dari 58 pertanyaan dengan analisis bivariat menggunakan chi-square. Hasil uji statistik menunjukkan bahwa terdapat hubungan yang signifikan antara penyebab broken home dengan self-esteem remaja pada keluarga broken home dengan nilai p-value = 0,015 (p< 0,05). Diharapkan orang tua memberikan dasar yang kuat dalam memberikan kasih sayang yang utuh untuk anaknya, serta pendidikan yang baik agar terbentuk pribadi yang kuat dan memiliki ketahanan yang baik Kata Kunci: Self-Esteem, Remaja, Broken hom
Improving Health Profiles and Type 2 Diabetes Mellitus Knowledge of Community Groups in Karanglo Village, Grogol, Sukoharjo, Central Java, Indonesia Through the SEE Method
No full textCentral Java ranks fourth among regions for the highest number of diabetes melitus (DM) cases, following Jakarta, Yogyakarta, and East Kalimantan. Grogol District in Sukoharjo Regency had the greatest prevalence of DM cases in 2019, accounting for 18.41% of the total. Diabetes melitus significantly impairs the overall well-being of individuals as it affects individuals across all age groups, including those who can work and those who cannot. If left unmanaged, it can lead to a range of outcomes. The Karanglo Village community is considered at high risk for diabetes melitus (DM) due to a history of health ailments and elevated blood glucose levels. Furthermore, this region is still lacking any health education interventions. This activity aimed to do earlier screening and monitoring of blood sugar levels, as well as providing health education, using the SEE approach (Screening, Health Education, and Exercise) to monitor diabetes melitus. The program was implemented in the period from November 2023 to January 2024, which includes a total of 27 participants, all of whom are female. The implementation of the programs involves the following methods: conducting blood sugar level screenings, engaging in diabetes exercises twice a week, providing health education in six meetings that cover topics such as the epidemiology and etiology, risk factors and prevention, symptoms and diagnosis, complications and management of DM, as well as blood glucose monitoring. Apart from using tools in the form of presentation slides, health education also utilized educational posters. At the end of the program, there was an increase in knowledge by 21.5% (p=0.024) based on pretest and posttest scores, improvements in blood sugar levels, total cholesterol levels, and body mass index. To follow up on the program, a group of independent blood sugar observers has been formed who is responsible for further monitoring blood sugar in program participants
Deteksi Dini Risiko Sindrom Metabolik pada Remaja di Daerah Urban dan Rural: Early Detection of Metabolic Syndrome Risk in Adolescents in Urban and Rural Areas
No full textMetabolic syndrome is a collection of metabolic disorders that are closely related to an increased risk of developing diabetes mellitus and cardiovascular diseases in obese adolescents. Metabolic syndrome in adolescents is still reversible with varying timeframes. In adolescents with metabolic syndrome, the transition from homeostasis with normal blood sugar levels to type 2 diabetes occurs more rapidly compared to adults. Early diagnosis of metabolic syndrome is essential for prevention through lifestyle changes. Living in urban areas has a higher risk of obesity compared to living in rural areas after controlling for other variables. This activity aims to initially screen metabolic syndrome in middle school adolescents in urban and rural areas. The measurement of metabolic syndrome parameters involved 107 students, consisting of 47 middle school students in urban areas and 60 in rural areas. The measurement and data analysis results showed significant differences in body mass index (p<0,001), waist size (p=0.03), waist circumference (p=0.007), and upper arm circumference (p=0.002) between students in urban and rural areas, while blood sugar levels, blood pressure, and neck circumference did not show significant differences
