ASSYIFA : Jurnal Ilmu Kesehatan

STUDI KASUS ANALISIS ASUHAN KEPERAWATAN PASIEN HIPERTENSI PADA MASALAH KEPERAWATAN NYERI AKUT DENGAN KOMBINASI PEMBERIAN BACK MASSAGE DAN TERAPI AKUPRESUR

2025-05-31T11:06:55+07:00

Headache is the most common complaint reported by hypertensive patients and is very disturbing in carrying out daily activities. Headache is caused due to an increase in blood pressure resulting in a decrease in oxygen to the brain which results in anaerobic metabolism and produces lactic acid and ultimately stimulates pain stimulation. Pain management is done to handle pain so that patients feel safe and comfortable, which can be done through pharmacological and non-pharmacological interventions such as autogenic relaxation, acupressure, back massage, foot massage, warm compresses and slow deep breathing. The purpose of writing this scientific paper is to know the analysis of nursing care hypertensive patients on pain nursing problems with a combination of giving back masage and acupressure therapy. The method in writing this scientific paper is a case study involving three patients hypertension with the provision of combined interventions of back massage therapy and acupressure. Data collection techniques used are interviews, observations, physical examinations, and documentation studies. The nursing problem found was pain associated with clinical manifestations of hypertension. The main intervention is pain management by providing a combination of back massage therapy and acupressure which is done once a day for 30 minutes and repeated for two days. The combination of back massage therapy and acupressure is effective in reducing complaints of headache pain that is experienced by the third.

STUDI KASUS ANALISIS ASUHAN KEPERAWATAN ANAK DEMAM TIFOID PADA MASALAH KEPERAWATAN HIPERTERMIA DENGAN PEMBERIAN TERAPI KOMPRES TEPID SPONGE DAN TOPIKAL BAWANG MERAH

2025-05-31T11:09:37+07:00

One of the health challenges often experienced by children is fever, which can be a symptom of various serious diseases such as typhoid fever. Pharmacological management of fever often causes side effects, so safe and effective non-pharmacological alternatives are needed. This study aims to analyze the effectiveness of providing non-pharmacological therapy, namely Tepid Sponge compress and topical shallots as independent nurse actions to overcome hyperthermia in patients. The intervention was carried out on three patients for three consecutive days, with a duration of 35 minutes per session. The results showed a decrease in hyperthermia in all patients, accompanied by increased comfort and ability to do activities. When tepid sponge compress and topical shallots are combined, they work synergistically through two main physiological pathways. external heat release (Heat Loss Mechanism) where tepid sponge compress helps lower temperature through evaporation of water on the skin and shallots accelerate heat release through stimulation of sweat and capillary vasodilation. This combination helps reduce the inflammatory reaction which is the main cause of hyperthermia. The combination of tepid sponge compress and topical red onion works synergistically in lowering body temperature through the mechanism of evaporation, circulation stimulation, and anti-inflammatory effects. This therapy has been proven safe, effective, and potential as an alternative in non-pharmacological pain management with the additional benefit of improving the patient's quality of life. It is hoped that this therapy can be implemented in other pediatric patients.

STUDI KASUS ANALISIS ASUHAN KEPERAWATAN PASIEN DIABETES MELITUS DENGAN MASALAH KEPERAWATAN GANGGUAN POLA TIDUR YANG DIBERIKAN KOMBINASI SLEEP HYGIENE DAN AROMATERAPI LAVENDER

2025-05-31T11:12:35+07:00

Complaints of patients with Type 2 DM such as nocturia, frequent thirst, frequent hunger, skin itching, tingling, leg cramps, pain and physical discomfort that can cause sleep disturbances and result in poor sleep quality. Maintaining and maintaining sleep quality is one of them through the provision of sleep hygiene and lavender aromatherapy. The purpose of writing this scientific paper is to determine the analysis of nursing care for patients with diabetes mellitus with nursing problems of sleep pattern disorders given a combination of sleep hygiene therapy and lavender aromatherapy. The method in writing this scientific paper is a case study involving three DM patients. Data collection techniques used interviews, observations, physical examinations, and documentation studies. The nursing problem found was disturbed sleep patterns associated with poor sleep control and clinical manifestations of DM disease. The main intervention is sleep support by providing a combination of sleep hygiene and lavender aromatherapy which is done once a day for 60 minutes and repeated for three days. The provision of sleep hygiene and lavender aromatherapy is effective in reducing complaints of sleep pattern disorders experienced by the three DM patients. Providing education related to sleep hygiene and also making SOPs related to complementary therapies that can be applied in DM patients.

STUDI KASUS PEMBERIAN KOMBINASI KOMPRES HANGAT DAN MASSAGE KEPALA UNTUK MENGATASI MASALAH KEPERAWATAN NYERI AKUT PADA PASIEN HIPERTENSI

2025-06-09T19:30:24+07:00

Hypertensive patients who experience an increase in blood pressure have several complaints, one of which is headache. This impact causes a nursing problem, namely acute pain. Management is required to reduce these effects by providing head massage combined with warm compresses. This scientific study was conducted to determine the nursing care profile of hypertensive patients with acute pain as a nursing issue, who were given head massage combined with warm compresses in Pujungan Village, the working area of the Pupuan I Health Center. A descriptive method with a case study approach to the nursing care process was used in managing clients with acute pain, including assessment, nursing diagnosis, intervention, implementation, and evaluation. Patients were selected using purposive sampling in Pujungan Village, the working area of the Pupuan I Health Center. The final nursing research involved three patients who received head massage combined with warm compresses for 30 minutes. The evaluation of the intervention showed that all three patients, who initially reported moderate pain, experienced mild pain after receiving head massage combined with warm compresses, indicating that the acute pain nursing issue had been resolved. The administration of head massage combined with warm compresses can alleviate acute pain in hypertensive patients. Therefore, it is recommended that hypertensive patients be given head massage combined with warm compresses to alleviate acute pain.

PERAN INTERVENSI APOTEKER DALAM KEPATUHAN MINUM OBAT PASIEN HIPERTENSI: TINJAUAN SISTEMATIS

2025-06-17T10:52:23+07:00

One of the factors that often hinders medication adherence is unwanted side effects or interactions with other medications that are being used. Pharmacists have in-depth knowledge of pharmacology and drug interactions, so they can provide information to patients on how to manage those side effects. This study aims to systematically review the role of pharmacists in medication adherence of hypertensive patients. The literature search will be carried out in March 2025. Systematic reviews are carried out by searching for articles from Google Scholar. Keywords for searching this article include "intervention" or "pharmacist" or "compliance" or "taking medication" or "hypertension". Of the 580 articles collected through an initial search on Google Scholar, the author identified 4 articles regarding the role of pharmacists in medication adherence of hypertensive patients. Adherence to medication in hypertensive patients is essential to control blood pressure and prevent further complications. Pharmacists have a very strategic role in improving patient compliance by providing clear education, monitoring medication use, dealing with side effects, providing motivational support, and collaborating with other health workers.

STUDI KASUS ASUHAN KEPERAWATAN PASIEN TUBERKULOSIS DENGAN MASALAH POLA NAFAS TIDAK EFEKTIF DIBERIKAN TINDAKAN POSISI ORTHOPNEA

2025-05-31T11:17:22+07:00

Tuberculosis is a contagious infectious disease caused by the infectious agent Mycobacterium tuberculosis bacteria which generally attacks the lung organs in humans. The above problems give rise to nursing problems in patients with pulmonary tuberculosis, usually more on the problem of the respiratory system which causes the patient's breathing pattern to be ineffective. One of the non-pharmacological therapies that is effective in reducing shortness of breath in patients with pulmonary tuberculosis is orthopnea positioning. The purpose of this scientific work is to determine the description of nursing care for tuberculosis patients with nursing problems of ineffective breathing patterns given orthopnea positioning measures at UPTD Puskesmas Mengwi I. Descriptive method with a case study approach to the nursing care process carried out in managing clients with ineffective breathing patterns including assessment, nursing diagnosis, intervention, implementation and evaluation. Patient retrieval was carried out using purposive sampling technique in UPTD Puskesmas Mengwi I. The final scientific work of nurses involved as many as three managed patients who were given the action of orthopnea position for 30 minutes. The evaluation of the action was that the patient initially said he had a cough and shortness of breath and increased during activity with an average saturation of 96% and after being given the orthopnea position the nursing problem of ineffectiveness of breathing patterns had been resolved as evidenced by the patient saying he breathed more freely, feeling less tightness with an average oxygen saturation of 98%. Giving orthopnea position can overcome ineffective breathing patterns in Tuberculosis patients So it is recommended that Tuberculosis be given an orthopnea position to overcome overcome ineffective breathing.

TERAPI MUSIK UNTUK MENURUNKAN KECEMASAN PASIEN INTRA OPERASI SECTIO CAESAREA DI RS KRISTEN NGESTI WALUYO TEMANGGUNG: CASE REPORT

2025-05-31T11:19:39+07:00

Cesarean section procedures performed under spinal anesthesia allow patients to remain conscious during surgery; however, they often induce anxiety due to the stressful environment of the operating room. If not properly managed, anxiety can negatively impact the patient’s physiological stability and interfere with the smooth execution of the surgical procedure. Music therapy is a non-pharmacological approach that has been proven to be safe, comfortable, and effective in reducing anxiety levels. This study utilized a case report method, implementing a 60-minute music therapy intervention delivered through earphones during the surgical process. Observational results indicated a significant decrease in the patient’s anxiety level, as measured by the State-Trait Anxiety Inventory score, which dropped from 55 (moderate anxiety) to 31 (mild anxiety). Additionally, the patient’s heart rate decreased from 102 bpm to 92 bpm, and blood pressure from 130/84 mmHg to 120/88 mmHg, while the respiratory rate remained stable at 20 breaths per minute. These findings suggest that music therapy is effective in reducing anxiety in patients undergoing cesarean section with spinal anesthesia.