ASSYIFA : Jurnal Ilmu Kesehatan

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

Tisna Astanti — 2025-07-11

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

Ni Made Surya Dharma Yuni — 2025-07-11

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

Ni Ketut Somowati — 2025-07-11

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

Desak Gede Francin Indraswari — 2025-07-11

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

Yusnita Julyarni Akri — 2025-07-11

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

Ni Luh Gede Depiyanti — 2025-07-11

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

Tuhu Setyoraharjo — 2025-07-11

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.

PERBEDAAN EFEKTIVITAS POSISI SEMIFOWLER DENGAN POSISI TRIPOD PADA SATURASI OKSIGEN PASIEN ASMA

Ni Putu Ririn Ariyanti — 2025-07-31

Asthma patients may experience emergencies due to bronchoconstriction in the respiratory tract, which can lead to decreased oxygen saturation and increased respiratory rate. Curative management in the emergency department involves interventions that can be performed on asthma patients, which can be combined with the tripod position and semi-Fowler position. This study aims to determine the difference in effectiveness between the semi-Fowler position and the tripod position on oxygen saturation in asthma patients in the emergency department of Singasana General Hospital. The study was conducted using a pre-test and post-test control group design from February to March 2025 with a sample size of 24 respondents. Thus, 12 participants were assigned to the semi-Fowler position group and 12 asthma patients to the tripod position group, selected using purposive sampling. Data were collected using oximetry. Data were analyzed using the Mann-Whitney U test with a significance level of p<0.05. The results showed that before the tripod position, the average oxygen saturation was 93.91%, and there was an increase in oxygen saturation after the tripod position was applied, with an average of 96.50%. The measurement of oxygen saturation in asthma patients before the semi-Fowler position had an average of 93.83%, and there was an increase in oxygen saturation after the semi-Fowler position was applied, with an average of 97.66%. Analysis of the difference in oxygen saturation between asthma patients in the semi-Fowler position and the tripod position yielded a p-value <0.001, indicating a significant difference in oxygen saturation between asthma patients in the semi-Fowler position and the tripod position in the emergency department of Singasana General Hospital. The recommendations of this study are expected to serve as input for nurses to always provide the tripod position and semi-Fowler position as supportive curative therapy for asthma patients to improve oxygen saturation.

PENGARUH FOOT MASSAGE TERHADAP NILAI ANKLE BRACHIAL INDEX PADA PASIEN DM TIPE 2

Ni Made Susantiani — 2025-07-31

Diabetes mellitus disease has macrovascular complications, namely peripheral arterial disease, which can be known by measuring the value of the ABI. The treatment that can be given so that the ABI value is normal with foot massage. This study aims to determine the effect of foot massage on the value of ABI in patients with type 2 DM in the Dahlia Room of Tabanan Hospital. The research was carried out with the design used was pre-test and post-test one group design which was carried out from February to March 2025 with a total sample of 29 respondents selected by purposive sampling technique. Data was collected using a digital sphygmomanometer. Data were analyzed using the Wilcoxon sign-rank test. The results showed the value of the ABI before being given a foot massage with an average of 0.83 and the value of the ABI after being given a foot massage with an average of 1.03. the effect of foot massage on the value of the ABI in patients with type 2 DM obtained p value <0.001, so it can be said that there is an effect of foot massage on the value of the ABI in patients with type 2 DM in the Dahlia Room of Tabanan Hospital. The recommendations of this study are expected to be input for nurses to always provide foot massage to patients with diabetes mellitus to prevent macrovascular complications.

HUBUNGAN KECEMASAN DENGAN GANGGUAN MAKAN (EATING DISORDER) MAHASISWA ILMU KEPERAWATAN DI FAKULTAS ILMU KESEHATAN UNIVERSITAS MUHAMMADIYAH JEMBER

Alya Ramadhani — 2024-07-31

Anxiety is the body's response to survival, but if it occurs in high intensity it can have a negative impact on an individual's quality of life, including triggering eating disorders. Anxiety in students is motivated by various academic demands. This study aims to analyze the relationship between anxiety and eating disorders in Nursing students at the Faculty of Health Sciences, University of Muhammadiyah Jember. This study used a quantitative descriptive design with a cross-sectional method. The study population was 170 Nursing students class of 2024, with a sampling technique using proportional stratified random sampling. The instruments used were the GAD-7 questionnaire to measure anxiety and the EDE-Q to assess eating disorders. The results of the Spearman Rank test showed a significant relationship between anxiety and eating disorders with a p value = 0.000 (<0.05) and a correlation coefficient (r) = 0.372 which indicated a fairly strong relationship. The results of the study showed that 73.9% of students experienced anxiety without eating disorders, and 26.1% experienced anxiety accompanied by eating disorders. There is a fairly strong relationship between anxiety and eating disorders in Nursing students, Faculty of Health Sciences, University of Muhammadiyah Jember. Students are advised to improve stress management through positive activities such as socializing with people around them. It is also important to get help to maintain a healthy diet and seek professional help if you experience symptoms of anxiety or eating disorders.

HUBUNGAN HARGA DIRI DENGAN PENAMPILAN SOSIAL MAHASISWA FAKULTAS ILMU KESEHATAN UNIVERSITAS MUHAMMADIYAH JEMBER

Hera Puspita Anggraini Respita Dewi — 2025-07-31

First-year nursing students are generally in the late adolescent stage, which is vulnerable to social pressure and decreased self-esteem. Social appearance is an important aspect of the interaction process, and negative perceptions of appearance can affect self-esteem. This study aims to determine the relationship between self-esteem and social appearance in students of the Nursing Study Program, Faculty of Health Sciences, Universitas Muhammadiyah Jember, class of 2024. This research used a correlational design, quantitative method, and a cross-sectional approach. The sampling technique used was proportionate stratified random sampling with a total of 119 student respondents. The instruments used were the Rosenberg Self-Esteem Scale (RSES) and the Multidimensional Body Self-Relations Questionnaire Appearance Scale (MBSRQAS). Data were analyzed using the Spearman Rho test with a significance level of α ≤ 0.05. The results showed that the majority of students had moderate self-esteem (86.6%) and moderate social appearance (77.3%). The correlation test showed a p-value of 0.000 (< 0.05) and a correlation coefficient of r = 0.475. There is a significant positive relationship between self-esteem and social performance of students with moderate relationship strength. Students are expected to pay more attention to and develop a positive self-concept and body image through self-reflection, maintaining mental health, and avoiding excessive social comparison.

HUBUNGAN PERUNDUNGAN DENGAN KESEHATAN MENTAL SISWA SMP PRAJAMUKTI KOSGORO DI KABUPATEN BANYUWANGI

Diah Anik Wulandari — 2025-07-31

Bullying is an experience in which a person feels hurt by the actions of others and fears that the behavior will happen again. Victims generally feel powerless to stop such actions. This study aims to determine the relationship between bullying and the mental health of junior high school students. This research used a quantitative approach with a correlational design and cross-sectional method. The population included all students in grades VII, VIII, and IX at SMP Prajamukti Kosgoro, Banyuwangi Regency, totaling 109 students. The sampling technique used was probability sampling with proportional simple random sampling, resulting in a total sample of 86 students. A questionnaire was used to measure the level of bullying and the students’ mental health conditions. The results showed that most students experienced bullying at a very low level, totaling 34 students (39.5%), while 35 students (40.7%) had good mental health. The Spearman Rank (Rho) correlation test showed a p-value of 0.000, which is smaller than the significance level α (0.000 < 0.05), and the correlation coefficient r was 0.380. Higher levels of bullying tend to be associated with lower mental health conditions among students. These findings highlight the importance of addressing bullying in the school environment as a factor that can affect students’ psychological well-being. There is a significant relationship between the level of bullying and the mental health of junior high school students.

HUBUNGAN PENGETAHUAN DIET DASH DENGAN KEPATUHAN DIET PADA PASIEN HIPERTENSI

Kade Dwi Yunita Widayani — 2025-08-13

The increasing number of hypertension patients is attributed to insufficient public knowledge about hypertension management, particularly regarding lifestyle control through dietary patterns. One method to control hypertension by altering lifestyle involves adopting the DASH dietary approach. Adequate knowledge of the DASH method can encourage better behavioral practices. This study aims to investigate the relationship between knowledge of the DASH diet and dietary adherence among hypertensive patients at the Internal Medicine Clinic of Singasana General Hospital. The study was conducted using a quantitative design with an analytical observational approach and a cross-sectional design, carried out from February to March 2025 with a sample size of 78 respondents selected using consecutive sampling. Data were collected using a DASH diet knowledge questionnaire and a DASH diet adherence questionnaire. Data were analyzed using Spearman's rho test with p<0.05. The results showed that the majority had insufficient knowledge (61.5%) and the majority were non-compliant with the diet (73.1%). Analyzing the relationship between DASH diet knowledge and dietary compliance in hypertensive patients using Spearman's rho yielded a p-value <0.001, indicating a significant relationship between DASH diet knowledge and dietary compliance in hypertensive patients at the internal medicine clinic of Singasana General Hospital. It is hoped that the recommendations of this study will motivate patients to seek knowledge about the DASH diet through various media, thereby increasing their knowledge and adherence to the diet.

GAMBARAN IMPLEMENTASI KOMBINASI POSISI SEMI FOWLER DAN NAPAS DALAM UNTUK MEMPERBAIKI RESPIRATORY RATE DAN SATURASI OKSIGEN PASIEN DYPSNEA DI IGD RS. X DI KABUPATEN TEMANGGUNG TAHUN 2025: CASE REPORT

Karwati Karwati — 2025-08-13

Emergency is a condition that requires immediate action to address threats to life or bodily function. Dyspnea is a condition characterized by the sensation of shortness of breath, marked by obstructed airflow, or difficulty breathing and chest tightness, which can lead to death if not promptly, accurately, and appropriately managed by healthcare providers.The management of dyspnea in patients includes both pharmacological and non-pharmacological interventions. One of the non-pharmacological interventions that can be performed is a combination of the semi-Fowler's position and deep breathing exercises. The main symptoms experienced by the patient include shortness of breath, wheezing, and rapid, shallow breathing. The intervention combining the semi-Fowler’s position and deep breathing involves lying at a 30–45° angle accompanied by deep breathing techniques, with one hand placed on the chest and the other on the abdomen. The patient inhales for 4 seconds, holds the breath for 2 seconds, and exhales with pursed lips for 8 seconds. This is performed for 3 sessions of 15 minutes each. Additionally, collaborative interventions include administering 3 L/min oxygen therapy and nebulizer treatment.

PENERAPAN RELAKSASI NAPAS DALAM DAN KOMPRES HANGAT PADA NYERI ABDOMINAL DI IGD RS SWASTA TEMANGGUNG: CASE REPORT

Persi Susana — 2025-08-16

Abdominal pain is an abdominal pain emergency that can occur due to surgical and non-surgical problems. Patient visit data from January to March 2025 showed 84 patients with abdominal pain. Abdominal pain can increase the pain scale. Management of abdominal pain to reduce the pain scale with a combination of deep breathing relaxation therapy and warm compresses. The research method used in this study is a case report by conducting an intervention observation for 15 minutes with 1 respondent. After implementing deep breathing relaxation combined with warm compresses, the results showed a decrease in the pain scale from 6 to 3. Nurses in the Emergency Room are expected to be able to implement deep breathing relaxation combined with warm compresses to reduce the pain scale in abdominal pain patients in the Emergency Room by paying attention to vital signs. Intervention is carried out once when the patient enters the emergency room.