Jurnal Kegawatdaruratan Medis Indonesia

Diabetic Foot Exercises for Hyperglycemia in Diabetes Mellitus Patient: A Case-Study

Elia Nanda Wulan Sari, Eka Mei Dianita, Pepin Nahariani, Heri Yulianto — Sat, 22 Jun 2024 00:00:00 +0700

Background: Diabetes Mellitus is a metabolic disease characterized by increased blood sugar levels which occurs because the pancreas is unable to secrete insulin. Symptoms of diabetes mellitus cases are increased blood glucose levels, one action to overcome this is diabetes foot exercises. Objective: To determine the effectiveness of diabetes mellitus foot exercises in reducing blood glucose levels. Methods: Descriptive with presentation of case studies using a nursing care approach, namely assessment, diagnosis, intervention, implementation and nursing evaluation. Results: After carrying out nursing actions for 3 x 24 hours, it was found that blood glucose levels had decreased as evidenced by subjective data: the patient said that the weakness and tingling in the legs had decreased, objective data: decreased weakness, GDA examination was 129 mg/dL. Conclusions: There was a decrease in blood sugar levels after diabetes mellitus foot exercise. There are differences in the development of decreased blood glucose levels in patients with diabetes mellitus before and after the application of diabetes mellitus foot exercise.

Murattal Therapy Reduces the Anxiety of Patients Treated in the Intensive Care Unit of a Hospital

Siti Rachmah, Nurul Mawaddah, Titin Dwi Jayanti — Fri, 02 Aug 2024 00:00:00 +0700

Patients treated in the Intensive Care Unit (ICU) can experience anxiety due to the conditions they experience and the care environment. Untreated anxiety can affect physiological changes or the patient's hemodynamic status, resulting in worsening conditions. Nursing interventions based on Indonesian nursing intervention standards (SIKI) using murattal therapy can be used to overcome patient anxiety. The purpose of this study was to determine the effect of murattal therapy on patient anxiety in the ICU of Aisyiyah Siti Fatimah Hospital Tulangan Sidoarjo. The research method used a Pre-Experiment design with a one group pretest-posttest design. The study population was all patients treated in the ICU. The sampling technique was carried out using the Purposive Sampling technique, obtaining a sample of 48 patients who met the inclusion and exclusion criteria. Data collection used an anxiety level instrument in accordance with the Standar Luaran Keperawatan Indonesia (SLKI). While the murattal therapy intervention is given in accordance with the Indonesian nursing intervention standards (SIKI) which are given in the form of MP3 audio of the letter ar-rahman. The results of the study showed a decrease in anxiety scores by 39 points after being given murattal therapy intervention. The results of the paired T-test obtained a p value of 0.000, this indicates that there is an effect of murratal therapy on the anxiety of patients treated in the ICU. Murattal therapy intervention can be used as a non-pharmacological intervention in overcoming anxiety problems.

Application of Murottal Al-Quran Therapy on The Hallucination Scores of Hearing Hallucination Patients in Dr. RM. Soedjarwadi Psychiatric Hospital Klaten

Ganis Dina Fihudha, Mulyaningsih — Mon, 05 Aug 2024 00:00:00 +0700

Background: Auditory hallucinations are hallucinations that would listen to voices and could threaten the patient in giving commands. In schizophrenic patients with hallucinations experience auditory hallucinations by 70%, then those with visual hallucinations are found by 20% and those with sense of smell and shuttle hallucinations are 10%. Purpose: To find out how the implementation of surah al-rahman's audio therapy (surah ar-rahman) against the score of patient auditory hallucinations in Dr. RM. Soedjarwadi Psychiatric Hospital Klaten. Methods: using descriptive methods with a case study design approach, the respondents used as many as 2 patients with auditory hallucinations. For respondents to the criteria of inclusion and inclusion, the Quran's audio marital therapy takes 20 minutes out of 3 days, the scale auditory higher rating (AHRS). Results: The hallucination scores for both respondents before and after being given audio murottal Al-Quran therapy decreased, namely from moderate hallucinations to mild hallucinations. Conclusion: There was a decrease in the hallucination score after being given Audio Murottal Al-Quran therapy from moderate to mild.

Application of Brisk Walking Exercise to Blood Pressure for Hypertension Patients in Joyotakan, Surakarta

Aliya Alfatikhah, Tri Susilowati — Sun, 11 Aug 2024 00:00:00 +0700

Background: Hypertension is a common chronic disease worldwide commonly known as high blood pressure. Hypertension is a chronic state characterized by increased blood pressure on the walls of arterial arteries. The percentage of hypertensive cases in central Java is 37.57%. One of the nonpharmacological therapies hypertensive is brisk walking exercise. Brisk walking exercise is highly effective in stimulating maximum heart rate, stimulating muscle spasms, glycogenic fission, and increased oxygen of the target Objective: To find out how brisk walking exercise leads to blood pressure in Joyotakan village. Method: Using a descriptive method with a case study design approach, the respondents used 2 patients with hypertension in Joyotakan village, Serengan distric, Surakarta city. The identification of respondents to the inclusion and exclusion criteria, the application of brisk walking exercise makes 4 times in one week, using a sphygmomanometer measure of blood pressure. Results: brisk walking exercise reduced blood pressure in 2 respondents after brisk walking exercise 4 times in 1 week in Joyotakan village. Conclusion: There is a change to 2 respondents after brisk walking exercise during 4 days of adoption in Joyotakan village, Serengan distric, Surakarta city.

Early Adults Coping Skills and Post Traumatic Stress Disorder After Eruption of Semeru Mountain: a Cross-sectional Study

Ahmad Zainuri, Baskoro Setioputro, Rismawan Adi Yunanto — Tue, 13 Aug 2024 00:00:00 +0700

Post Traumatic Stress Disorder (PTSD) is a psychiatric disorder that can occur in people who have experienced or witnessed a traumatic event. This study aims to analyze the relationship between coping skills and post-traumatic stress disorder after the eruption of Mount Semeru in early adults in Sumber Wuluh Village, Lumajang. Using a cross sectional study method, the subjects of this research were early adults (26-35 years old) with a sample of 138 respondents. Sampling uses Cluster Sampling. The results characteristics respondents in study were early adults aged 26-35 years, the gender group was mostly female, and the education level was mostly elementary and middle school. The coping skills in this study used adaptive coping (65.2%). Post traumatic stress disorder in this study, famale experienced more PTSD (28.3%), and male did not experience PTSD (25.4%). The relationship between coping skills and post-traumatic stress disorder was obtained with a P-value of 0.000, less than ɑ <0.05. It can be concluded that there is a relationship between the two variables, and has a correlation value of -.622. A negative correlation means that the lower the coping skills score, the higher the post-traumatic stress disorder score. It can be concluded that coping skills and post-traumatic stress disorder have a significant relationship with a negative direction.

Analysis Of Nursing Care in Post Laparotomy TAH-BSO Patient Using Finger Grip Relaxation Therapy

Tue, 13 Aug 2024 00:00:00 +0700

Handling of chocolate cysts can be done by laparotomy surgery. The surgical procedure has an effect or problem that often arises, namely acute pain in the area of the former operation. One of the therapies that can be given to patient with post-laparotomy surgery is finger grip relaxation techniques. This technique is considered capable of reducing the intensity of pain in postoperative patient, in addition to that finger-held relaxation therapy is an effective, comfortable, easy to use, and inexpensive therapy so that all patient can obtain and perform this therapy.This work aims to determine the effectiveness of applying finger-hold relaxation techniques to patient with post-laparotomy surgery for indications of chocolate cysts.The method used in this research is a case study on patient in the Dahlia room, dr. Soebandi General Hospital with a diagnosis of acute pain.The results after being given the intervention of finger-held relaxation techniques for 3 consecutive days with 2 sessions per day for 15 minutes with 3-minute intervals changing the fingers held were a decrease in pain intensity from sharp pain that was felt continuously with a scale of 6 NRS to a recurring, intermittent pain with a pain scale of 3 NRS.

The Implementation of Guided Dhikr Therapy to Reduce Anxiety in Close Fractures Patients

Naretta Khoirunisak, Mulia Hakam, Kushariyadi, Sulis Setyowati — Wed, 14 Aug 2024 00:00:00 +0700

Patients with fracture conditions often experience complaints of excessive anxiety, where anxiety is felt due to the pain that is felt and the provision of invasive or surgical action plans. Preoperative patients will certainly feel excessive anxiety. Feelings of anxiety will cause stress and cause nursing problems, namely anxiety. Dhikr therapy is a non-pharmacological therapy and includes complementary therapy, where this therapy can reduce the level of anxiety felt by preoperative patients. The purpose of this study was to analyze the administration of dhikr therapy in patients with preoperative close fractures of the left distal radius. This research uses the case study method. This research was conducted in the Seruni room at dr. Soebandi Regional Public Hospital of Jember. Dhikr therapy is carried out for four consecutive days with a time of approximately 20 minutes. The results obtained from this study after administration of anxiety reduction combined with dhikr therapy obtained the patient's anxiety scale level from VAS-A4 to the VAS-A0 scale, visualization of anxiety complaints decreased, restless behavior decreased, and eye contact increased, respiratory rate 16 x/minute, SpO2 98%, pulse 90 x/minute, and blood pressure 130/80 mmHg. Reducing anxiety with dhikr therapy can be given to pre-surgery patients, this can improve health quality, sleep quality, and physical condition.

The Effectiveness of Chest Physiotherapy for Pneumonia Patients with Ineffective Airway Clearance Problems in Intensive Care Unit

Nadilla Ayu Arifin, Rismawan Adi Yunanto, Akhmad Zainur Ridla, Heri Siswanto — Wed, 14 Aug 2024 00:00:00 +0700

In patients with decreased consciousness and a respirator installed in intensive care unit room, it causes obstruction to discharge of secretions. Excessive accumulation of secretions in the airways can obstruct the airways and cause the patient to experience dyspnea. These conditions can cause ineffective airway hygiene problems. Ineffective airway clearance problems may occur in patients with pneumonia caused by excessive accumulation of secretions. The purpose of this studi was to determine the effectiveness of implementing chest physiotherapy interventions in overcoming the problem of ineffective airway clearance nursing in patients in the ICU. Case study with a nursing care approach to patients in the intensive care unit. The sample used was 1 patient with chest physiotherapy nursing intervention for 3x24 hours in the form of chest physiotherapy. The results showed that effectiveness of implementing chest physiotherapy interventions in overcoming the problem of ineffective airway clearance nursing in patients in the ICU which is carried out in two sessions each shift is effective for reducing additional rhonchi breath sounds, reducing respiratory frequency, and helping to remove secretions. Based on the results, researcher conclude that nursing care for patients with ineffective airway clearance problems can be resolved with chest physiotherapy.

The Identification of Quality Of Life in Glaucoma Patients at Balung Regional Hospitals

Zhindy Sinura, Siswoyo, Ana Nistiandani — Fri, 16 Aug 2024 00:00:00 +0700

Glaucoma is a chronic neurodegenerative disorder of the optic nerve characterized by an increased IOP and progressive. The main threat to patients with visual impairment is the gradual loss of vision. Decreased vision function in glaucoma patients and inability to adapt to changes in body functions will have an impact on the ability to carry out daily activities and will affect the quality of life. The aim of this study was to analyze the quality of life in glaucoma patients at the Jember Regency Balung Regional Hospital. This study used a quantitative descriptive with a cross- sectional approach. 97 respondent were treated at Poli Mata Hospital in Balung Regional Hospital, Jember Regency obtained by purposive sampling technique. Collected data using the National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ 25). Data analysis using univariate. The results of the study were 49 respondents (50,5%) had a qood quality of life and 48 respondents (49,5%) had a less quality of life, near vision is the most problematic subscale in all of domains. The quality of life of glaucoma patients is a good category, which means respondents are satisfied with their health and vision condition does not significantly interfere with daily activities. Respondents can still do their daily activities independently even though slightly limited, both with and without glasses.

Diabetic Foot Exercise to Reduce High Blood Sugar Levels in Diabetes Mellitus Patient: A Case Study

Faise Lailatul Musarrofa, Rondhianto, Muhammad Zulfatul A’la, Sujarwanto — Sun, 18 Aug 2024 00:00:00 +0700

Diabetes mellitus is a metabolic disorder in the pancreas organ so that sugar levels increase due to a decrease in the amount of insulin in the pancreas. Therapeutic management pharmacology, namely administering insulin and administering oral hypoglycemic drugs, while non-pharmacological includes health education, diet, and exercise or physical training such as diabetes foot exercises. This research uses a case study method using pre and post methods carried out before and after the intervention. The data collection location was in the Lavender room at dr. Soebandi Hospital starts on 30 October 2023. Based on these results, it shows a change in blood sugar levels before and after administering diabetic foot exercise therapy is carried out for three consecutive days once a day, carried out in the morning 1-2 hours after breakfast. Diabetic foot exercises that are done regularly are expected to prevent complications often occurs in patients such as infected wounds on the feet. The results of the nursing evaluation are related to the diagnosis of instability in blood glucose levels which indicates changes in the patient's blood sugar levels where the patient's blood sugar values decreased after the intervention.