Nursing Process Approach Research Articles

Nursing Implementation Case Study: Health Education on Self-care Management of Asthma Patients During the COVID-19 Pandemic in Indonesia

Asthma is an incurable disease and is considered a risk factor for the morbidity of COVID-19. Self-care management is highly recommended as routine maintenance therapy, especially during the pandemic. This study aims to describe the nursing implementation related to health education about self-care management of asthma patients during the pandemic in Indonesia. This study used an exploratory case study method using the nursing process approach. The data were obtained using purposive sampling. The data were collected in various ways, such as interviews, physical assessments, and environmental observation. The nursing problems identified were ineffective breathing patterns and non-compliance. After implementing nursing through health education on self-care management, it was found that the development of the situation had improved. Nursing implementation through health education on self-care management in asthma patients can be applied to optimize asthma symptom control, reduce the risk of asthma exacerbations, and reduce the side effects of treatment, especially during the COVID-19 pandemic.
 Keywords: implementation of nursing, health education, self-care management, asthma, COVID-19

Exploration of In-Service Training Needs for Nurses Implementing the Nursing Process at Regional Hospitals of Limpopo Province, South Africa

Background: In-service training of the nursing employees plays an eminent role in developing the empowerment of nurses and the promotion of the overall quality of patient care in hospitals. Nurses with constant attendance of training on the nursing process show improved quality of patient care in most clinical health care settings. Nurses in hospitals in Limpopo province experience challenges regarding in-service training on the nursing process approach during patient care. The current study is imperative to the nursing practice; hence, in-service training remains one of the workplace activities that keep the nurses abreast with the latest development in their profession. Objectives: The purpose of this study is to explore and describe the in-training needs for nurses implementing the nursing process at regional hospitals of Limpopo province, South Africa. Methods: A qualitative explorative, descriptive, phenomenological and contextual research design was applied in the study. A nonprobability purposive sampling method was utilised to select professional nurses at the regional hospitals. Semi structured in-depth interviews using an interview guide was consumed to collect data from eighteen participants, then the data was analysed by means of phenomenological reduction method where themes and sub-themes were established. Results: The study discovered that there was no in-service training for professional nurses on the nursing process and there was a lack of management support to nurses implementing the nursing process. Conclusion: The study recommended the need to develop a training programme to enhance continuous in-service training on the nursing process in hospitals of Limpopo province.

Asuhan Keperawatan pada Pasien Pre-Operasi Hemoroid: Studi Kasus

This study aims to describe nursing care for a hemorrhoid patient at the X Regional General Hospital (RSUD X) located in DKI Jakarta by describing the patient's management. The method used is a case study with a nursing process approach through interviews (anamnesis), observation, reviewing documents and analysis of problems. The results showed that the suitability of symptom signs between theory and the clinic, dominated by pain, was influenced by work history. Furthermore, two primary diagnoses are enforced according to the signs and symptoms that arise. The focus of the action was to minimize pain, but it was found that at the end of the evaluation, the pain had not been resolved because the prognosis for hemorrhoids had entered an advanced stage, requiring surgery. In conclusion, implementing nursing care has yet to be effectively carried out due to unequal work time and responsibilities. The primary key to treating hemorrhoids is to examine when things are different or uncomfortable in the anal area. 
 Keywords: Nursing Care, Hemorrhoids, Pre-Operation

Administration of Tepid Sponge with Hyperthermia to Children with Typhoid Fever in the Hospital

Typhoid fever is a disease that is often suffered by children, especially school-age children aged 5-14 years, because they spend a lot of time outside, especially at school, so children pay less attention to personal hygiene. Hyperthermia is a symptom that often appears in typhoid fever sufferers. To treat hyperthermia, you can use compresses, one of which is tepid sponge. This case study aims to reduce body temperature in children who experience hyperthermia. Method: This case study uses a descriptive design with a case study design, in the case of reducing body temperature using the tepid sponge technique through a nursing process approach carried out by researchers. Data collection in this study was by measuring the child's body temperature using a thermometer and comparing the results of body temperature measurements after the tepid sponge was carried out using a body temperature comparison sheet after and after the tepid sponge was carried out. Results: After implementing tepid sponge nursing, the results from patient I and patient II showed that body temperature improved to the normal range. Conclusion: Implementation of tepid sponge in patients with hyperthermia can be applied because it is effective in reducing body temperature

Providing Puzzle Playing Therapy with Anxiety Children Due to Hospitalization in Children with Diarrhea in Hospital

Children with diarrhea who are undergoing treatment in hospital (hospitalization) will usually cause anxiety for the child. The role of nurses has a big role in controlling anxiety by reducing anxiety, namely play therapy by coloring pictures. Puzzle play therapy aims to make children happier or used as entertainment while being treated in hospital and can reduce the level of anxiety in children. Method: The design of this case study is descriptive in the form of a case study with a nursing process approach consisting of assessment, nursing diagnosis, planning, evaluation and documentation. The case study subjects were 2 cases of diarrhea with anxiety nursing problems at the Muhammadiyah Palembang Hospital in 2023. Data collection techniques were by observation, interviews and filling in research instruments for 3 days in the treatment room. Results: The results of the case study after implementing anxiety reduction nursing through puzzle playing therapy showed that the results of patient 1 and patient 2 showed that the level of anxiety decreased. What was found was that there was a significant relationship between Anxiety and the provision of puzzle playing therapy to children with Diarrhea. Discussion: Implementation of anxiety reduction nursing through puzzle playing therapy in Diarrhea patients with Anxiety problems can be applied because it is effective in reducing anxiety in children.

Pengaruh Pemberian Aromaterapi Lavender pada Penderita Hipertensi dengan Gangguan Rasa Nyaman

Hypertension is a condition of increased pressure that can cause various complications. This study aims to determine the effect of giving lavender aromatherapy to hypertensive clients with comfort disorders. This research uses a case study method with a nursing process approach. The study was conducted on March 25, 2022 to March 10, 2022. The number of respondents was 2 people with an intervention time of 4 days. The research was conducted in the working area of 23 Ilir Health Center Palembang. The results showed that after the intervention of giving lavender aromatherapy, there was a change in the pain scale from a pain scale of 5 to 1 in 2 clients. The intervention of giving lavender aromatherapy has an effect on reducing the comfort of hypertensive clients with headaches

KNOWLEDGE DEFICIT ABOUT DIETARY NEED IN FAMILIES WITH GOUT ARTHRITIS: A CASE STUDY

Introduction: At this time, people with gout arthritis are not only found in the elderly because lifestyles that pay less attention to their health also have a risk of increased uric acid levels in the blood. Gout arthritis is a joint disease caused by increased uric acid levels in the blood, causing several problems. One of the causes of gout is the patient's lack of knowledge about the rules of the gout arthritis diet. The purpose of this study was to carry out family nursing care with a deficiency of understanding of case gout arthritis in Balungtawun Village, Sukodadi District of Lamongan Regency. Methods: The research method used is case study research. The research subjects used five respondents from five family members who had gouty arthritis with knowledge deficit problems in Balungtawun Village, Sukodadi District of Lamongan Regency, using a family nursing process approach. The data was collected through interviews, observation, physical examination, and documentation. The data obtained were analyzed by comparing the theory with cases. Results: The results of the case studies were analyzed, and it was found that there was a match in the process of assessment, diagnosis, intervention, and evaluation. Meanwhile, there are gaps in implementation that are not by the planned intervention. Conclusions: It is expected that families and patients can apply the proper diet for gout arthritis to reduce recurrence and uric acid levels in the patient's blood.

Benson Therapy in Gastritis Patients to Reduce Pain

Gastritis is an inflammation of the gastric mucosa caused by an irregular diet. Gastritis can be an emergency if not treated immediately, even in some conditions gastritis can also cause perforation to death. This study aims to obtain an overview of benson relaxation interventions to reduce pain in gastritis clients. The writing used uses a descriptive case study method through a nursing process approach that includes assessment, nursing diagnosis, planning, implementation and evaluation. With gastritis patient participants with acute pain problems in the Dahlia Room BLUD RSU Kota Banjar. Data collection through interviews, observation, physical examination, and documentation. Based on the results of the pain scale assessment, the results of the original scale reduction from 5 (0-10) to 2 (0-10) using the Numeric Rating Scale (NRS) measuring instrument method. The author found an effect after giving benson relaxation intervention on reducing pain intensity in gastritis patients and getting effective results, as evidenced by a decrease in the intensity of the pain scale. From the case study of benson relaxation intervention can be an alternative intervention that is done to gastritis patients so that there are no complications from the disease.

ASUHAN KEPERAWATAN IBU NIFAS DENGAN POST SECTIO CAESAREA : STUDI KASUS

Sectio Caesarea (SC) is a hysterotomy to deliver the fetus from inside the uterus. The impact that occurs in postpartum mothers with post sectio caesarea is acute pain and the risk of infection and skin integrity disorders that occur due to surgical wounds on the abdomen. To overcome the impacts that arise, it is necessary to have the role of nurses in providing comprehensive nursing care for postpartum mothers with post sectio caesarea, so as to prevent problems in postpartum mothers post sectio caesarea. Early mobilization is a policy to guide the patient to be able to move and walk from bed. The purpose of this study was to provide an overview of nursing care for postpartum mothers after sectio caesarea. This research method is descriptive in the form of a case study with a nursing process approach including assessment, nursing diagnosis, intervention, implementation and evaluation. The sample is Mrs. A 27 years old in the Obstetrics Room at Dr Zainoel Abidin Hospital, Banda Aceh. The results of the study found Mrs. A after nursing care for three days the barriers to physical mobility and the risk of infection were resolved and partially resolved. Conclusion: acute pain, physical mobility barriers and risk of infection.

TERAPI CERMIN TERHADAP KEKUATAN OTOT EKSTREMITAS PADA PASIEN STROKE

Stroke is a disease or functional disorder of the brain in the form of nerve paralysis due to obstruction of blood flow to the brain. Decreased blood flow to the brain can be caused by blocked blood vessels in the brain. It can also be caused by the rupture of blood vessels to the brain. In simple terms, acute stroke is defined as a brain disease due to cessation of blood supply to the brain due to bleeding (hemorrhagic stroke) or blockage (non-hemorrhagic stroke). According to the WSO (World Stroke Organization) in 2016 more than 67.5 million people in the world experienced an ischemic stroke and 15 million people in the world experienced a hemorrhagic stroke. Nationally, the prevalence of stroke in Indonesia according to the Ministry of Health of the Republic of Indonesia in 2018 is estimated at 2,120,362 people who suffer from stroke. Brain damage from a stroke can cause various symptoms such as paralysis or weakness in one half of the body that occurs suddenly, where the most characteristic symptom is hemiparesis (reduced muscle strength of one limb). Muscle strength is the ability of muscles to produce tension and power during maximum effort both dynamically and statically or in other words muscle strength is the maximum ability of muscles to contract. Non-pharmacological therapy that can be done to increase extremity muscle strength in stroke patients is mirror therapy. Mirror therapy is a form of rehabilitation that relies on motor imagery, where the mirror will provide visual stimulation that tends to be imitated like a mirror on body parts that are disturbed by healthy body parts. The purpose of this case study is to describe the application of mirror therapy to extremity muscle strength in stroke patients. The writing method uses a descriptive method with a nursing care process approach, the samples taken are 2 respondents.

Effectiveness of Oxytocin Massage in Spontaneous Post Partum Mothers to Increase Breast Milk Production

Objective: To determine the effectiveness of oxytocin massage on postpartum mothers to increase lactation. Method: The method used is a descriptive design in the form of a case study with a maternity nursing care process approach which includes assessment, diagnosis, planning, implementation and evaluation. The subjects used in this study were clients who had problems with ineffective breastfeeding in Lotus Room 2 BLUD Banjar City General Hospital. This data collection technique includes interviews, observations, physical examinations and documentation studies. Result: Evaluation of the administration of oxytocin massage therapy on the issue of breastfeeding is proven in clients who routinely do oxytocin massage after 4 days of increased milk production, marked by how often the baby is breastfed and how long he sleeps after being breastfed. Conclusion: Oxytocin massage therapy has been proven to be effective for smoothing and increasing the production of the hormones oxytocin and prolactin, which function to smooth out breast milk.

HUBUNGAN PENGETAHUAN DENGAN KELENGKAPAN PENGISIAN DOKUMENTASI ASUHAN KEPERAWATAN BERDASARKAN PENDEKATAN PROSES KEPERAWATAN MAHASISWA KEPERAWATAN SEMESTER VI STIKES BUANA HUSADA PONOROGO

Knowledge is the process of finding information obtained by a person through various sensory organs. Knowledge in this case relates to the completeness of the nursing care documentation. The nursing process as a tool for nurses to carry out nursing care carried out on patients has an important meaning for both parties, namely nurses and clients. The purpose of this study is to analyze knowledge with completeness of filling in nursing care documentation based on the approach of the nursing process of nursing students in semester VI of STIKES Buana Husada Ponorogo. This study used a correlational design . The population in this study was all nursing students in semester VI of STIKES Buana Husada Ponorogo. The sample in this study was all 15 nursing students in semester VI of STIKES Buana Husada Ponorogo. The sampling technique is Total sampling. This study used the Spearman Rank statistical test with α = 0.05. The results of research from 15 respondents showed that student knowledge about nursing care documentation based on the nursing process approach was mostly good as many as 9 respondents (60%), students in documenting nursing care with the nursing process approach were mostly complete as many as 8 respondents (53.3%). There is a Relationship between Knowledge and Completeness of Filling in Nursing Care Documentation Based on the Nursing Process Approach of Nursing Students in Semester VI STIKES Buana Husada Ponorogo.with p value = 0.000 with α = 0.05 Respondents always update the latest science related to nursing care in order to be able to compile nursing care in a comprehensive and orderly manner in accordance with the development of science.

The Effect of Range of Motion Exercise to Improve Muscle Strength on Physical Mobility Barriers in Osteoarthritis Patient

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.

Asuhan Keperawatan Pada Tn.S Dengan Halusinasi PendengaranDi RSJ Prof DR Soerojo Magelang

Hallucinations are a form of reality orientation disorder characterized by a person giving a response or judgment in the absence of a stimulus received by the senses, and is one of the effects of perceptual disturbances. The purpose of this study is to provide nursing care to clients with impaired sensory perception of hearing with dhikr and istigfar therapy. The method used by the researcher is a qualitative study using case study research (case studies) with a nursing process approach in one patient who has sensory perception disorders. The process of collecting data by interviewing, observing and viewing the patient's medical records. Data analysis was carried out by data collection and data reduction. The results of the research that all interventions have been successfully carried out and nursing problems are resolved as shown by the patient being able to control his auditory hallucinations with dhikr and istigfar. Spiritual Therapy with Islamic dhikr and istigfar, which is a treatment and treatment aimed at healing a mental illness, to each individual, with inner or spiritual strength, in the form of religious rituals not treatment with drugs, with the aim of strengthening one's faith so that he can develop his potential and religious nature to the fullest. So it can be concluded that the application of dhikr therapy can control the auditory hallucinations experienced by the client.

Latihan Batuk Efektif pada Pasien dengan Pneumonia

Pneumonia is a disease that infects the respiratory tract and is accompanied by symptoms of cough and runny nose and shortness of breath caused by viruses, bacteria, and foreign substances. One of the interventions to expel phlegm is to practice coughing effectively independently. Effective coughing is a coughing exercise that aims to expel phlegm that is stuck in the patient's airway, which is done correctly will help expel phlegm to the maximum. This case study was conducted to determine the effectiveness of the implementation of an effective cough on sputum production in patients with pneumonia at Kardinah Hospital, Tegal. The research method used is a descriptive case study with a nursing care process approach. The study was conducted by purposive sampling with the following criteria: medical diagnosis of pneumonia, adult age, experiencing ineffective airway clearance nursing problems, RR>20 x/minute, and willingness to be a respondent, in the upper Edelweiss room. The results showed that the patient's respiratory rate before the implementation was 26 x/minute to 20 times per minute. In addition, giving effective coughing exercises for 3x24 hours has shown a change in the patient's ability to expel phlegm. This study concludes that coughing exercises can effectively reduce the patient's respiratory rate within the normal range, improve SPO2, and increase sputum output. It is recommended for nurses to be able to use effective coughing exercises on airway clearance disorders.

NURSING CARE OF CONTINUOUS URINARY INCONTINENCE IN THE ELDERLY POST-ISCHEMIC STROKE A CASE REPORT

Introduction : Continuous urinary incontinence is the continued and uncontrolled passing of urine without distension and a feeling of fullness in the bladder due to neurological dysfunction. This condition is often found in the elderly post-ischemic stroke. The study aimed to describe nursing care of continuous urinary incontinence in the elderly post-ischemic stroke in Lamongan. Methods : This study used a case study approach (case report) on a participant through the nursing process approach. The sample in this study is one patient, an elderly post-ischemic stroke. This research was conducted in 2021 in Lamongan with three visits to patients' homes for seven days. Data collection techniques include interviews, observation, and physical examination. This research instrument uses the gerontic nursing care format and sandvik severity index. Results : Continuous urinary incontinence nursing care with the main intervention for urinary incontinence treatment (I.04163) and the supporting intervention is pelvic muscle exercises (I.07215) can be applied to elderly post-ischemic stroke according to the expected outcomes. The continuous urinary incontinence has a partially resolved on the third home visit. The client can hold urine several times when the bladder feels full, reduced the frequency of night urination, and rarely wakes up because of wet diapers. Sandvik Severity Index shows a value of 4 (moderate incontinence). Conclusions: Improving nursing care need for collaboration between patients, families, and health workers in performing pelvic muscle exercises independently, continuously, and regularly to increase the strength of the detrusor-sphincter muscles and showed improvement in urinary continence.

Pemenuhan Kebutuhan Mobilisasi Dini terhadap Penyembuhan Luka pada Pasien Sectio Caesarea di Rumah Sakit Tk. II Putri Hijau Medan

Section Caesarea is a childbirth done by incision through abdomen wall. Indication of doing Section Caesarea are repeated Section Caesarea, on the request of the women, old primigravida, dystocia, fetus emergency, early rupture of membranes, previa placenta, and old partum. Early mobilization is an enabling factor in accelerating post-surgery recovery and preventing complication since the wound needs good blood circulation to the growth or improvement of cells. The research used descriptive method with nursing process approach in 2 Section Caesarea patients with early mobilization technique at Putri Hijau Level II Hospital, Medan. In the post-nursing intervention, using early mobilization, the patients Physical mobility could gradually be fulfilled. The con conclusion was the patients were willing to do early mobilization step by step so that the recovery could be achieved early. It is recommended that nursing increase their guidance to Section Caesarea patients in doing early mobilization step by step.

PENERAPAN TERAPI GENERALIS PADA PASEN SKIZOFRENIA DENGAN MASALAH KEPERAWATAN HALUSINASI PENDENGARAN

Application of generalist therapy in Schizophrenic Patients with Nursing Problems Hearing Hallucinations
 
 Auditory hallucinations are hearing voices or noises that are less clear or clear, where sometimes these sounds are like talking to the patient and sometimes ordering the patient to do something. If auditory hallucinations cannot be controlled, it can result or impact injuring oneself, others and the environment.
 The purpose of this case study is to determine the implementation of generalist therapy in schizophrenia patients with auditory hallucinations nursing problems at the Avicenna Clinic Makassar. This scientific paper uses a case study method design with a nursing process approach consisting of assessment, diagnosis, intervention, implementation and evaluation of nursing. The data collection technique was carried out through interviews and observations at the Avicenna Clinic in Makassar which was carried out on 27-30 December 2021.

Asuhan Keperawatan Pada Lansia Dengan Arthritis Rheumatoid

Introduction: Rheumatoid arthritis is the most common autoimmune disease in the community. This disease is characterized by inflammation of the lining of the synovium of the joint. It can cause long-term joint damage, prolonged pain, loss of function and disability. Objective: This study aims to determine nursing care for the elderly with a medical diagnosis of rheumatoid arthritis. Methods: The research design used a case study with a nursing process approach. The sampling technique used is convenience sampling. The sample in this study was Mrs. U age 70 years. The research was conducted at the Jagakarsa Public Health Center, Jakarta in May 2021. The data was collected by means of interviews, observations, and documentation studies. The research instrument is a gerontic nursing care format. Results: The results of nursing care on Ny. U was found that the client had fallen and sprained his leg two months ago. Currently the client feels pain in the left knee which is dislocated and looks swollen. Nursing diagnosis i.e. chronic pain related to physical injury agent Conclusion: The priority nursing problem for clients is pain can be overcome by giving warm compresses.

ASUHAN KEPERAWATAN PADA PASIEN DENGAN POST OPERATIF HERNIA INGUINALIS : STUDI KASUS

Inguinal hernia is defined as a lump of an organ through the inguinal cleft in the abdominal wall. According to the World Health Organization (WHO), in 2010-2015 hernia patients reached nearly 20 million cases and there were 20 million cases of inguinal hernia surgery every year. In Indonesia, it is estimated that there are 300 thousand cases. Based on data obtained from the HCU Room at RSUD Dr. Zainoel Abidin Banda Aceh, from January 2020 to April 2021, there were 14 cases. The purpose of this study was to determine the implementation of nursing care for Mrs. T with postoperative inguinal hernia in the HCU Room of Dr. Zainoel Abidin Hospital Banda Aceh in 2021. In compiling this case study the author uses a descriptive method with a nursing process approach which includes assessment, nursing diagnoses, nursing planning, implementation and evaluation. The results of nursing care were obtained after 3x24 hours the client's pain complaints decreased from a scale of 6 to 4, respiratory status was 18 x/m, daily activities were still assisted. Based on the results of the final evaluation, it was concluded that Mrs. T's problem was partially resolved for the diagnosis of acute pain and activity intolerance. As for the ineffective breathing pattern, the problem is resolved. The suggestions given are expected to improve communication and obtain more accurate data, so that nursing care can be carried out appropriately.