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Case Study of Progressive Muscle Relaxation Intervention to Reduce Pain in Appendicitis Patient 渐进式肌肉放松干预减轻阑尾炎患者疼痛的个案研究
Pub Date : 2022-12-02 DOI: 10.56359/gj.v3i2.130
Nur Hidayat, Haryani, Aditya Nur Wahyuni, Iif Taufiq El Haque, Iman Masluh Aziz, Henri Setiawan
Objective: This case study was conducted to describe a progressive muscle relaxation intervention in reducing pain in appendicitis patients.Method: This study uses a case study design with an evidence-based practice approach that focuses on nursing interventions. This research was conducted at the BLUD RSU Banjar City on 27-31 May 2022. Participants in this study were Ny patients. C, 35 years old, female, complains of right lower quadrant abdominal pain. The process of assessing and establishing a diagnosis is focused on the main problem. Objective and subjective data becomes a reference for periodic evaluation of nursing implementation.Results: Patients gave recognition of decreased pain after being given a progressive muscle relaxation intervention with a pain scale of 4 out of 5 (0-10) and a scale of 3 out of 4 (0-10).  Conclusion: Progressive muscle relaxation intervention should be suspected to be effective in reducing pain in appendicitis patients as evidenced by subjective patient recognition. Theoretically, this study does not conflict with previous research so that it can be a reference in future research. Theoretically, this research does not conflict with previous research so that it can be a reference in future research. Clinically, progressive muscle relaxation intervention can be an alternative intervention to reduce pain levels in patients with chronic diseases such as appendicitis in hospitals and health centers.
目的:本病例研究描述渐进式肌肉放松干预在减少阑尾炎患者疼痛中的作用。方法:本研究采用案例研究设计,循证实践方法,重点关注护理干预。这项研究于2022年5月27日至31日在班贾尔市布鲁德RSU进行。本研究的参与者为5名患者。C, 35岁,女,主诉右下腹腹痛。评估和确定诊断的过程集中在主要问题上。客观和主观数据成为定期评价护理实施的参考依据。结果:患者在接受渐进式肌肉放松干预后疼痛减轻,疼痛评分为4分(5分)(0-10分)和3分(0-10分)。结论:渐进式肌肉放松干预可有效减轻阑尾炎患者的疼痛,并有患者的主观认知。从理论上讲,本研究与以往的研究没有冲突,可以为今后的研究提供参考。从理论上讲,本研究与以往的研究没有冲突,可以为今后的研究提供参考。临床上,渐进式肌肉放松干预可作为医院和保健中心慢性疾病(如阑尾炎)患者减轻疼痛水平的替代干预措施。
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引用次数: 7
The Effect of Oxygenation on Improving Breathing Pattern in Congestive Heart Failure Case 充氧对改善充血性心力衰竭患者呼吸方式的影响
Pub Date : 2022-12-02 DOI: 10.56359/gj.v3i2.95
Naura Dian Fadila, P. Adriani, Arni Nur Rahmawati
Objective: To determine the effect of oxygenation on increasing ineffective breathing patterns in congestive heart failure (CHF).Method: This case study uses a descriptive method that includes an assessment that aims to provide a detailed description of the background, nature and character of a case. This study uses three data collection techniques, namely, primary data (interviews and observations), and secondary data (documentation).Result: After giving oxygen, the results showed that there was a change in breathing pattern for the better, no shortness of breath, and a normal frequency of respiration 21 x/minute and SPO2 99%.Conclusion: It is concluded that the ineffective breathing pattern can be overcome by giving oxygenation. It can be seen from the results of the research evaluation that giving oxygen before and after can have an effect on improving breathing.
目的:探讨氧合对充血性心力衰竭(CHF)患者无效呼吸模式增加的影响。方法:本案例研究采用描述性方法,包括评估,旨在提供案例的背景,性质和特征的详细描述。本研究使用三种数据收集技术,即主要数据(访谈和观察)和次要数据(文献)。结果:给氧后,呼吸方式好转,无呼吸短促,呼吸频率21 x/min, SPO2 99%。结论:通过氧合治疗可以克服呼吸方式的不良。从研究评价的结果可以看出,前后给氧都有改善呼吸的效果。
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引用次数: 0
The Relationship of Nurse Therapeutic Communication with Anxiety among Rheumatoid Patients 类风湿患者护理沟通与焦虑的关系
Pub Date : 2022-07-22 DOI: 10.56359/gj.v3i1.24
A. Gunawan, Nadya Salsabilla, Fitriani Fajriah, Nurshofi Intansari, Haryani, Maulidah Noor Sofia, Noneng Nuraida, Ikna Cahyadi Kurniawan
Objective: This study uses a descriptive correlational quantitative method with a cross-sectional approach to determine whether there is a relationship between therapeutic communication and anxiety in rheumatic patients at the Jatinagara Health Center.Method: This study uses a descriptive correlational quantitative method with a cross-sectional approach to determine whether there is a relationship between therapeutic communication and anxiety in rheumatic patients at the Jatinagara Health Center. The population in this study were rheumatism sufferers as many as 119 people in the Jatinagara Health Center area using accidental sampling technique with a sample of 31 people. This study uses primary data or data obtained directly from the object of research by distributing anxiety questionnaires, namely Hamilton Rating Scale For Anxiety (HARS) and therapeutic communication questionnaires which were analyzed using statistical analysis applications, namely SPSS for windows with Chi-Square test.Result: The results of the study obtained respondents who obtained the following results from 31 respondents who received good therapeutic communication, namely 19 respondents (61.3%) and those who received poor communication were as many as 12 respondents (38.7%). Of the 19 respondents who received therapeutic communication (61.3%) of them there was no anxiety as many as 11 people (57.9%) and of the 12 respondents who received poor therapeutic communication, there were 3 respondents (25.0) who had severe anxiety. Based on table 2.4, the chi-square results show p-value = 0.081 > (0.05).Conclusion: based on research that has been done the results obtained show that the relationship between therapeutic communication and anxiety in rheumatic patients at the Jatinagara community health center is not effective.
目的:本研究采用描述性相关定量方法和横断面方法来确定Jatinagara健康中心风湿病患者的治疗沟通与焦虑之间是否存在关系。方法:本研究采用描述性相关定量方法和横断面方法来确定Jatinagara健康中心风湿病患者的治疗沟通与焦虑之间是否存在关系。本研究的人群是Jatinagara健康中心地区的119名风湿病患者,使用了31人的偶然抽样技术。本研究使用原始数据或直接从研究对象获得的数据,通过发放焦虑问卷,即汉密尔顿焦虑评定量表(HARS)和治疗性沟通问卷,使用SPSS统计分析软件进行分析,窗口采用卡方检验。结果:研究结果获得的被调查者中,31名被调查者中治疗沟通良好的19名(61.3%),沟通不良的多达12名(38.7%)。在接受治疗性沟通的19名应答者(61.3%)中,无焦虑者达11人(57.9%),在12名治疗性沟通不佳的应答者中,有3名应答者(25.0)有严重焦虑。由表2.4可知,卡方结果显示p值= 0.081 >(0.05)。结论:根据已有的研究结果显示,在Jatinagara社区卫生中心,治疗沟通与风湿病患者焦虑之间的关系并不有效。
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引用次数: 0
Comprehensive Management of Pregnancy with Anaemia 妊娠贫血的综合管理
Pub Date : 2022-07-22 DOI: 10.56359/gj.v3i1.42
Aulia Ridla Fauzi, Rosidah Solihah, Resna Litasari, Fitria Andini, Neli Sunarni, Sri Utami Asmarani, Hani Septiani, D. Ariani
Objective: The aim of this case study is to carry out comprehensive management for pregnant women with mild anemia.Method: The design is a case study design with comprehensive care. This case study uses an analytical descriptive method, with the main objective of exploring the problem, providing an overview of the case, and analyzing more deeply midwifery care according to the client's needs.Results: Comprehensive care carried out for pregnant women with anemia was successfully carried out by increasing HB levels and giving birth without complications, as well as the condition of the newborn in good condition.Conclusion: Oral iron (Fe) supplementation is the standard of care in obstetric practice in pregnancy. The increase in hemoglobin levels in pregnant women with mild anemia conditions can be increased by providing correct and effective information, monitoring Fe consumption regularly by midwives, nurses, and health workers for 30 days, and providing information on danger signs during delivery until the baby's condition is born.
目的:本病例研究的目的是对孕妇轻度贫血进行综合管理。方法:采用综合关怀的案例研究设计。本案例研究采用分析描述性方法,主要目的是探讨问题,提供案例概述,并根据客户的需求更深入地分析助产护理。结果:对贫血孕妇进行了全面护理,成功提高血红蛋白水平,顺利分娩,无并发症,新生儿状况良好。结论:口服补铁是妊娠期产科护理的标准。通过提供正确有效的信息,助产士、护士和卫生工作者在30天内定期监测铁的消耗,以及在分娩过程中提供有关危险迹象的信息,直到婴儿出生,可以提高轻度贫血孕妇血红蛋白水平的升高。
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引用次数: 0
The Effect of Range of Motion Exercise to Improve Muscle Strength on Physical Mobility Barriers in Osteoarthritis Patient 活动度训练对改善骨性关节炎患者肌肉力量的影响
Pub Date : 2022-07-22 DOI: 10.56359/gj.v3i1.30
Ulif Ihwansyah, P. Adriani, Dwi Puji Putranti
Objective: To determine the effect of ROM activity therapy to increase muscle strength on physical mobility barriers in osteoarthritis cases.Methods: This case study uses descriptive methods to describe assessment, data analysis, nursing plans, interventions, implementation, evaluation by describing cases and using a nursing process approach so that it focuses on one of the important problems of osteoarthritis. Assessment is done by history taking and observation. Nursing diagnoses are determined by NANDA, while nursing plans are adjusted to interventions in the Nursing Intervention Classification (NIC), implementation is carried out according to nursing care plans that have been prepared, and nursing evaluations are documented using the SOAP model.Results: The results of the evaluation were carried out within a period of 3 days, the intervention given with range of motion activity therapy had an effect in increasing lower extremity muscle strength. The patient cannot move freely and has difficulty carrying out activities, for that the authors design an intervention especially to increase muscle strength and after implementation the patient can perform optimal movements.Conclusion: It was concluded that the effect of ROM activity therapy to increase muscle strength on physical mobility barriers in cases of osteoarthritis. It can be seen from the results of the research evaluation that range of motion exercises before and after can have a major influence in increasing muscle strength.
目的:探讨ROM活动疗法增加肌力对骨关节炎患者身体活动障碍的影响。方法:本案例研究采用描述性方法,通过案例描述和护理过程的方法,对评估、数据分析、护理计划、干预措施、实施、评估进行描述,以关注骨关节炎的一个重要问题。评估是通过历史记录和观察来完成的。护理诊断由NANDA确定,护理计划根据护理干预分类(NIC)中的干预措施进行调整,根据已准备好的护理计划进行实施,并使用SOAP模型记录护理评估。结果:评估结果在3天内进行,给予活动范围治疗的干预有增加下肢肌肉力量的效果。患者不能自由活动,难以进行活动,因此作者设计了一种特别的干预措施来增加肌肉力量,实施后患者可以进行最佳运动。结论:ROM活动疗法增加肌力对骨性关节炎患者身体活动障碍的影响。从研究评估的结果可以看出,前后的活动范围练习对肌肉力量的增加有很大的影响。
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引用次数: 0
Nursing Care with A Medical Diagnosis of Non-hemorrhagic Stroke in High Care Unit of Banjarnegara Islamic Hospital: A Case Study Banjarnegara伊斯兰医院高护病房非出血性中风医学诊断护理个案研究
Pub Date : 2022-07-22 DOI: 10.56359/gj.v3i1.45
Latifah, M. Setiawan, Adiratna Sekar Siwi
Objective: The purpose of this study was to determine the development of non-hemorrhagic stroke patients by maximizing the implementation of ROM during treatment.Method: The method used is descriptive method with a case study approach in non-haemorrhagic stroke patients with decreased consciousness. The case study process was carried out by finding patient data and classified according to continued inclusion criteria. interviews (to the family) and secondary data collection from medical records, observation of the patient's condition and periodic physical examinations. After obtaining the data, further documentation of the nursing process is carried out from assessment, data analysis, nursing problems, nursing interventions, nursing implementation and evaluation.Result: Nursing problems that arise include: risk of ineffective cerebral perfusion related to hypertension, ineffective airway clearance related to retained secretions and impaired physical mobility associated with decreased muscle strength, Three nursing problems have not been resolved because stroke is a brain tissue damage that is characterized by irreversible (cannot be returned) and it takes a long time for the recovery process.
目的:本研究的目的是通过在治疗期间最大限度地实施ROM来确定非出血性卒中患者的发展。方法:对意识下降的非出血性脑卒中患者采用描述性方法和个案研究方法。案例研究过程通过查找患者数据并根据持续纳入标准进行分类来进行。访谈(对家属)和从医疗记录、观察患者状况和定期体检中收集的次要数据。获得数据后,从评估、数据分析、护理问题、护理干预、护理实施和评估等方面进一步记录护理过程。结果:出现的护理问题包括:高血压相关的脑灌注无效风险,分泌物残留相关的气道清除无效,肌肉力量下降相关的身体活动能力受损。由于中风是一种不可逆(无法恢复)的脑组织损伤,恢复过程需要很长时间,因此三个护理问题没有得到解决。
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引用次数: 0
Techniques of Audiovisual Distraction to Reduce Pain during Venous Blood Sampling: A Case Study 视听分散技术减少静脉血取样过程中的疼痛:一个案例研究
Pub Date : 2022-07-22 DOI: 10.56359/gj.v3i1.72
Natalia Jayanti Mandasari, Leli Ngatikoh, Murniati
Objective: The purpose of this study was to determine whether there is an effect of audiovisual distraction therapy on reducing pain levels in pediatric patients when taking venous blood in cases of Dengue Hemorrhagic Fever.Method: The design used in this study is a descriptive study with a case study method for the provision of nursing care, namely from assessment, developing of nursing diagnoses, interventions, implementation and evaluation. The focus of the study was the effect of audiovisual distraction techniques on reducing pain scales in children who received invasive venous blood sampling.Result: The result is that after being given distraction therapy for 10  minutes for 3 days at the time of blood sampling, the respondent's pain level decreased from a scale of 8 on the first day to a scale of 2 on the third day. The audiovisual distraction therapy can be degrees pain level.Conclusion: This case study underscores the importance of the active involvement of nurses during invasive procedures that cause pain, one of which is taking venous blood in pediatric patients, so that pediatric patients are more cooperative.
目的:本研究的目的是确定视听分散疗法是否对减少登革出血热患儿静脉血时的疼痛水平有作用。方法:本研究采用个案研究法对护理提供进行描述性研究,即从评估、护理诊断的制定、干预措施、实施和评估四个方面进行研究。该研究的重点是视听分散技术对减少接受侵入性静脉血取样的儿童疼痛程度的影响。结果:在抽血时连续3天给予10分钟的分心治疗后,被调查者的疼痛水平从第一天的8分下降到第三天的2分。视听分散疗法可对疼痛程度进行分级。结论:本案例研究强调了护士在引起疼痛的侵入性手术中积极参与的重要性,其中之一是儿科患者的静脉血,以便儿科患者更加合作。
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引用次数: 0
The Correlation of Dietary Habit with Incidence of Gastritis 饮食习惯与胃炎发病的关系
Pub Date : 2022-07-22 DOI: 10.56359/gj.v3i1.43
Ade Fitriani, Ajeng Silvia Nurislami, L. Lismayanti, Nur Hidayat
Objective: The purpose of this study was to determine the relationship between diet and the incidence of gastritis in adolescents at Madrasah Aliyah Negeri 2 Ciamis (MAN 2 Ciamis), Ciamis Regency, West Java.Method: The research desain used in this study is an analytical survey, to find the relationship between diet and the incidence of gastritis in adolescents, it is carried out with a cross sectional approach. The population used in this study were all teenagers consisting of class X students with a total population of 62 people. The total sample used is 56 people. The sampling technique used is purposive sampling, which is the sampling of data sources with the consideration of 56 respondents. To find the relationship between the two variables, the SPSS TEST was used to obtain the results of the chi-square test with a 95% confidence level and presented in the form of tables and narratives.Result: In this study, as many as (67.9%) adolescents with poor dietary habits experienced more gastritis than those who did not experience gastritis (32.1%) and The results of the non-parametric chi square test showed a large number of values = 0.000 < 0.05 which stated that there was a significant relationship between diet and the incidence of gastritis in adolescents.Conclusion: There is relationship between dietary habits and the incidence of gastritis in adolescents at MAN 2 CIAMIS.
目的:本研究的目的是确定饮食与西爪哇省Ciamis县(Ciamis Regency,西爪哇省)Negeri 2 Madrasah Negeri 2 Ciamis (man2 Ciamis)青少年胃炎发病率的关系。方法:本研究采用的研究设计为分析性调查,采用横断面法研究饮食与青少年胃炎发病的关系。本研究使用的人群均为青少年,由X班学生组成,总人数为62人。样本总数为56人。使用的抽样技术是有目的抽样,即考虑到56个受访者的数据源抽样。为了找出两个变量之间的关系,使用SPSS TEST获得卡方检验的结果,置信水平为95%,并以表格和叙述的形式呈现。结果:在本研究中,饮食习惯不良的青少年患胃炎的比例高达67.9%,高于未患胃炎的青少年(32.1%),非参数卡方检验结果显示大量值= 0.000 < 0.05,说明饮食与青少年胃炎发病率之间存在显著关系。结论:man2期CIAMIS青少年胃炎发病与饮食习惯有关。
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引用次数: 0
The Correlation of Intraoperative Blood Pressure with Post Operative Nausea and Vomiting Incidence 术中血压与术后恶心呕吐发生率的关系
Pub Date : 2022-07-22 DOI: 10.56359/gj.v3i1.75
N. Sukmawati, Ni Made Dewi Wahyunadi, N. P. J. Sastamidhyani
Objective: To determine the correlation of intraoperative blood pressure with PONV Incidence in post-general anesthesia patients at Tk. II Udayana Hospital Denpasar.Methods: This study employed analytical correlational with cross-sectional design. There were 60 respondents as the samples. The data were collected by using an observation sheet during intraoperative and PONV questionnaire. Data were analyzed using the Spearman's Rho test.Result: The result showed that the dominant of intraoperative blood pressure of the patient was normotensive (68,3%), the dominant of PONV incident was no PONV (90%). There was significant correlation of intraoperative blood pressure and PONV incidence (p-value <0.001) with coefficient correlation -0.507.Conclusion: There is a correlation of intraoperative blood pressure and PONV incidence on post general anesthesia patients at Tk. II Udayana Hospital Denpasar with strong correlation.
目的:探讨全麻后Tk患者术中血压与PONV发生率的关系。2 .登巴萨Udayana医院。方法:本研究采用分析相关和横断面设计。共有60名受访者作为样本。采用术中观察单和PONV问卷收集资料。数据分析采用Spearman’s Rho检验。结果:患者术中血压以正常血压为主(68.3%),无PONV发生率以无PONV为主(90%)。术中血压与PONV发生率有显著相关性(p值<0.001),相关系数为-0.507。结论:Tk全麻后患者术中血压与PONV发生率存在相关性。二、Udayana医院与登巴萨相关性强。
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引用次数: 0
Implementation of Chest Physiotherapy in Children with Tuberculosis to Manage Ineffective Airway Clearance 实施胸部物理疗法治疗肺结核患儿气道清除无效
Pub Date : 2022-07-22 DOI: 10.56359/gj.v3i2.74
Nita Khikmatul Aeni, Murniati
Objective: This case study aims to describe the nursing care process and analyze the administration of chest physiotherapy to treat ineffective airway clearance in children diagnosed with tuberculosis.Method: This research is a case study research using random sampling technique for the sampling process. The samples used were children diagnosed with tuberculosis, being hospitalized, and experiencing ineffective airway clearance. The study was conducted in March 2022. Data collection used a nursing assessment format for children, a physical examination format, and an interview guide format. The nursing care process is carried out from the initial stage of assessment to evaluation.Result: The main complaint expressed was a fever that went up and down, often felt nauseated, coughed up phlegm that was difficult to expel. The data findings showed wheezing, cyanotic skin color, and an increase in respiratory rate and pulse. The patient experiences ineffective airway clearance. Effective chest and cough physiotherapy interventions were given for 3 days during the treatment period and showed that the results of walking clearance were not effectively resolved. This condition is seen from the phlegm that has come out, there are no additional breath sounds, the respiratory rate and pulse are within normal limits.Conclusion: The provision of effective chest physiotherapy and coughing interventions proved to be able to overcome ineffective airway clearance. Research recommendations to be able to combine alternative non-pharmacological techniques in overcoming ineffective airway clearance in children, especially with tuberculosis.
目的:本案例研究旨在描述护理过程,并分析胸部物理治疗对诊断为结核病的儿童气道清除无效的应用。方法:本研究采用随机抽样技术进行个案研究。所使用的样本是被诊断患有结核病、正在住院并且呼吸道清除无效的儿童。该研究于2022年3月进行。数据收集采用儿童护理评估格式、体格检查格式和访谈指南格式。护理过程从最初的评估阶段进行到评价阶段。结果:主要表现为上下发烧,常感到恶心,咳痰难排。数据显示患者有喘息、肤色变紫、呼吸频率和脉搏加快等症状。患者的气道清除效果不佳。治疗期间给予有效的胸部和咳嗽物理治疗干预3天,结果显示行走清除率没有得到有效解决。从有痰出来看,没有额外的呼吸音,呼吸频率和脉搏在正常范围内。结论:提供有效的胸部物理治疗和咳嗽干预可以克服无效的气道清除。研究建议,能够结合替代的非药物技术,以克服无效的气道清除在儿童,特别是与结核病。
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引用次数: 0
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Genius Journal
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